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 C

Explanation

Choice A rationale: Performing active range of motion exercises may not be safe or appropriate immediately following a hemorrhagic stroke.

Choice B rationale: Maintaining the head of bed flat or at a 30-degree position might be used for ischemic strokes but not necessarily for hemorrhagic strokes.

Choice C rationale: Teaching measures to avoid the Valsalva maneuver (straining during activities like defecation) helps prevent sudden increases in intracranial pressure, which can be detrimental after a hemorrhagic stroke.

Choice D rationale: Monitoring for Battle's sign (bruising behind the ears associated with basilar skull fracture) is not relevant in the care of a hemorrhagic stroke.

A. Increase in serum lipid levels. B. Decrease in blood pressure to normal. C. Gain in body weight. D. Disappearance of protein from the urine.

Correct Answer is D

Explanation

Choice A rationale: An increase in serum lipid levels is associated with nephrotic syndrome, not recovery.

Choice B rationale: A decrease in blood pressure to normal might be beneficial but is not a definitive indicator of recovery from nephrotic syndrome.

Choice C rationale: Gain in body weight can occur due to fluid retention, which is a symptom of nephrotic syndrome, and doesn't indicate recovery.

Choice D rationale: The disappearance of protein from the urine is a sign of recovery in nephrotic syndrome.

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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

The nurse is caring for a client who is admitted with a hemorrhagic stroke. Which nursing action should be included in the plan of care?

Correct Answer is C

Explanation

What change indicates recovery in a patient with nephrotic syndrome?

Correct Answer is D

Explanation

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