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: These symptoms are more indicative of diabetic ketoacidosis, not hypoglycemia.

Choice B rationale: Symptoms of increased urination, thirst, and hunger are more associated with hyperglycemia, not hypoglycemia.

Choice C rationale: These are classic signs of hypoglycemia and should be described to the client for early recognition and intervention.

Choice D rationale: These symptoms can occur in hypoglycemia but are less specific compared to sweating, cold, trembling, and tachycardia.

A. A 42-yr-old patient with secondary amenorrhea who says that her last menstrual cycle was 3 months ago B. A 19-yr-old patient with menorrhagia who has been using superabsorbent tampons and has fever with weakness C. A 22-yr-old patient with persistent red-brown vaginal drainage 3 days after having balloon thermotherapy D. A 35-yr-old patient with heavy spotting after having a progestin-containing IUD (Mirena) inserted a month ago

Correct Answer is B

Explanation

Choice A rationale: The 42-yr-old patient with secondary amenorrhea may have menopause, pregnancy, or a hormonal disorder. This is less urgent compared to the 19- year old patient.

Choice B rationale: This patient may have toxic shock syndrome, which is a life- threatening complication of tampon use that can cause organ failure and shock. The nurse should assess the patient's vital signs, remove the tampon, and initiate fluid resuscitation and antibiotic therapy.

Choice C rationale: This patient may have an infection or a complication of the balloon thermotherapy, which is a procedure to destroy the endometrial lining of the uterus and is not an emergency compared to the 19 year old.

Choice D rationale: This patient may have a displacement or perforation of the IUD, which is a contraceptive device that releases progestin into the uterus. However, this is not urgent compared to the 19 year old.

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

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Naxlex Comprehensive Predictor Exams

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