A nurse is preparing to perform a cranial nerve examination on a client. Which of the following actions should the nurse take to check cranial nerve VII?
Check the client's visual acuity using a Snellen chart.
Observe for facial symmetry while the client smiles.
Have the client identify specific smells.
Whisper in one of the client's ears while occluding the other.
The Correct Answer is B
A. Check the client's visual acuity using a Snellen chart: This assesses cranial nerve II (optic), not cranial nerve VII.
B. Observe for facial symmetry while the client smiles: This is the correct method to assess cranial nerve VII (facial nerve), which controls facial muscles, including those responsible for smiling.
C. Have the client identify specific smells: This tests cranial nerve I (olfactory), not cranial nerve VII.
D. Whisper in one of the client's ears while occluding the other: This assesses cranial nerve VIII (vestibulocochlear), not cranial nerve VII.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. UV rays from the sun can cause skin damage and contribute to skin cancer, even in the winter months when the sun may seem less intense. Sunscreen is necessary year-round, as UV radiation can still reach the skin through clouds and reflections from surfaces like snow or water.
B. Tanning beds are a significant risk factor for skin cancer, as they emit UVA and UVB radiation, both of which can damage the skin and increase the risk of melanoma and other types of skin cancer. The nurse should educate the client that tanning beds should be avoided.
C. While individuals with darker skin have a lower risk of developing skin cancer compared to those with lighter skin, they are still at risk for certain types of skin cancer, particularly melanoma. It's important for people of all skin tones to practice sun safety and undergo regular skin checks.
D. Skin cancer, particularly melanoma, has a genetic component, meaning those with a family history of melanoma are at a higher risk. A family history of skin cancer increases the risk, and the client should be encouraged to have regular skin exams and protect their skin from the sun.
Correct Answer is B
Explanation
A. Check the client's visual acuity using a Snellen chart: This assesses cranial nerve II (optic), not cranial nerve VII.
B. Observe for facial symmetry while the client smiles: This is the correct method to assess cranial nerve VII (facial nerve), which controls facial muscles, including those responsible for smiling.
C. Have the client identify specific smells: This tests cranial nerve I (olfactory), not cranial nerve VII.
D. Whisper in one of the client's ears while occluding the other: This assesses cranial nerve VIII (vestibulocochlear), not cranial nerve VII.
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