A nurse is assessing a client’s cranial nerves. Which methods should the nurse use to assess cranial nerve V?
A nurse is educating a client about supplements that are effective for nausea. Which supplement should the nurse include?
Ask the client to clench their teeth.
Ask the client to read a Snellen chart.
Ask the client to raise his eyebrows.
The Correct Answer is B
Choice A Reason:
Listening to the client’s speech is not a method used to assess cranial nerve V. This method is more relevant for assessing cranial nerves IX (Glossopharyngeal) and X (Vagus), which are involved in speech and swallowing.
Choice B Reason:
Clenching the teeth is a method used to assess the motor function of cranial nerve V (the trigeminal nerve). The trigeminal nerve is responsible for the movement of the muscles involved in chewing. When a client clenches their teeth, the nurse can palpate the masseter and temporal muscles to check for strength and symmetry. This helps determine if there are any abnormalities in the motor function of the trigeminal nerve.
Choice C Reason:
Asking the client to read a Snellen chart is a method used to assess cranial nerve II (Optic), which is responsible for vision. This method does not assess cranial nerve V.
Choice D Reason:
Asking the client to raise his eyebrows is a method used to assess cranial nerve VII (Facial), which controls facial expressions. This method is not used to assess cranial nerve V.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.4"]
Explanation
Step-by-Step Calculation
Step 1: Identify the desired dose and the concentration of the medication.
Desired dose = 4 mg
Concentration = 10 mg/mL
Step 2: Set up the calculation to find the volume to administer.
Volume to administer (mL) = Desired dose (mg) ÷ Concentration (mg/mL)
Step 3: Perform the division.
4 mg ÷ 10 mg/mL = 0.4 mL
Step 4: Round the answer to the nearest whole number.
0.4 mL rounded to the nearest whole number is 0 mL
Step 5: Apply the instruction to use a leading zero if it applies and do not use a trailing zero.
The final volume to administer is 0.4 mL.
Therefore, the nurse should administer 0.4 mL of furosemide via IV bolus to the client.
Correct Answer is C
Explanation
Choice A Reason:
Open the client’s visual acuity using a Snellen chart is incorrect. This action assesses cranial nerve II (optic nerve), which is responsible for vision. The Snellen chart is used to measure visual acuity, not the function of cranial nerve VI
Choice B Reason:
Whisper none of the client’s ears while blocking the other is incorrect. This action assesses cranial nerve VIII (vestibulocochlear nerve), which is responsible for hearing and balance. Whispering tests the auditory function of this nerve.
Choice C Reason:
Ask the client to inspect up is correct. Cranial nerve VI (abducens nerve) controls the lateral rectus muscle, which is responsible for moving the eye outward. Asking the client to look up and outward helps assess the function of this nerve.
Choice D Reason:
Ask the client to smile is incorrect. This action assesses cranial nerve VII (facial nerve), which controls the muscles of facial expression. Smiling tests the motor function of this nerve.
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