The nurse assesses a client with damage to cranial nerve III. Which finding would be expected?

Asymmetric facial movement

Uvula deviation

Anosmia

Ptosis

Answer and Explanation

The Correct Answer is D

Choice A rationale: Asymmetric facial movement might be associated with damage to other cranial nerves, not specifically cranial nerve III.

Choice B rationale: Uvula deviation is a sign of damage to the glossopharyngeal (IX) and vagus (X) nerves, not cranial nerve III.

Choice C rationale: Anosmia, the loss of sense of smell, is not typically associated with cranial nerve III dysfunction.

Choice D rationale: Damage to cranial nerve III (oculomotor nerve) can lead to ptosis, the drooping of the eyelid.

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Correct Answer is D

Explanation

Choice A rationale: Addressing the obstruction and restoring urinary flow is a priority to prevent complications.

Choice B rationale: Managing pain caused by the stone obstruction is essential for the client's comfort and well-being.

Choice C rationale: Preventing urinary stasis and subsequent infection is crucial to avoid sepsis.

Choice D rationale: Education about prevention, though important, might have a lower priority compared to addressing immediate complications like obstruction and pain.

A. Urine output has increased; specific gravity has decreased. B. Urine output has increased; specific gravity has increased. C. Urine output has decreased; specific gravity has decreased. D. Urine output has decreased; specific gravity has increased.

Correct Answer is D

Explanation

Choice A rationale: This is a sign of worsening diabetes insipidus.

Choice B rationale: This shows signs of overhydration, as urine output is high and specific gravity is high.

Choice C rationale: This is a sign of worsening diabetes insipidus.

Choice D rationale: Vasopressin is a hormone that helps the kidneys retain water and concentrate urine. Diabetes insipidus is a condition where the body does not produce enough vasopressin or does not respond to it, resulting in excessive urination and diluted urine. The goal of vasopressin therapy is to reduce urine output and increase urine concentration, which indicates that the kidneys are functioning properly and the body is hydrated.

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The nurse assesses a client with damage to cranial nerve III. Which finding would be expected?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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