The nurse read the patient's health history cranial nerve III oculomotor paralysis. Which of the following would the nurse expect?

Муоріа

Normal eye movement

Ptosis will be evident and no pupillary constriction.

The eye cannot look to the outside side.

Answer and Explanation

The Correct Answer is C

(a) Mydriasis:

While mydriasis (dilated pupil) can be associated with cranial nerve III damage, it does not fully describe the range of symptoms expected with oculomotor paralysis. Cranial nerve III controls more functions than pupil dilation, such as eyelid elevation and certain eye movements.

(b) Normal eye movement:

Cranial nerve III paralysis would result in abnormal eye movement due to the loss of control over muscles responsible for moving the eye. Expecting normal eye movement would be incorrect since the paralysis affects the eye's ability to move properly.

Cranial nerve III (oculomotor nerve) paralysis leads to ptosis (drooping eyelid) because it innervates the levator palpebrae superioris muscle. It also affects the pupillary constrictor muscles, resulting in a dilated pupil (lack of pupillary constriction), making this the most comprehensive and accurate answer.

(d) The eye cannot look to the outside side:

Inability to look to the outside (lateral movement) is typically associated with cranial nerve VI (abducens nerve) paralysis, which controls the lateral rectus muscle. Cranial nerve III primarily affects vertical and medial movements, so this is not the expected finding.

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Correct Answer is B

Explanation

A) Color discrimination:

Color discrimination involves assessing the client's ability to differentiate between various colors, typically using color plates like the Ishihara test. This test is often used to detect color blindness or deficiencies in color vision. The action depicted in the image, which involves reading text up close, is not relevant to assessing color vision capabilities.

B) Near vision:

Near vision is assessed by having the client read small text or print held at a close distance, often using a near vision chart or card. The image shows the client covering one eye with an occluder while reading text, which is a common method to test the clarity and focus of near vision. This helps determine if the client has issues such as presbyopia, which affects near vision acuity.

C) Distance vision:

Distance vision is typically evaluated using a Snellen chart, where the client reads letters or symbols from a distance of 20 feet. The test aims to assess the clarity of vision at a distance. The action in the image does not align with this type of assessment, as it focuses on close-up reading rather than distance.

D) Intraocular pressure:

Intraocular pressure is measured using tools like a tonometer to assess the fluid pressure inside the eye, which is crucial for diagnosing conditions like glaucoma. This test involves specific instruments and procedures, unlike the reading task depicted in the image, which is unrelated to measuring eye pressure.

A. Accessibility B. Food preparation C. Food preferences D. Finances

Correct Answer is A

Explanation

A) Accessibility:

Accessibility refers to the client's ability to obtain food, which is crucial for nutritional status, especially for someone who lives alone and cannot drive. Difficulty in accessing grocery stores or markets can limit the variety and availability of nutritious food options, potentially leading to poor nutritional intake.

B) Food preparation:

Food preparation skills are important, but if the client has difficulty accessing food in the first place (due to transportation limitations), their ability to prepare meals becomes secondary. Accessibility to food sources is a more immediate concern for nutritional status.

C) Food preferences:

While food preferences can influence dietary choices, the ability to access food is a more fundamental issue that directly impacts nutritional intake, especially for someone who lives alone and has limited mobility.

D) Finances:

Financial constraints can certainly affect food choices and access to nutritious options. However, in this scenario, the primary concern is the physical accessibility to food sources, which directly impacts the client's ability to maintain adequate nutrition.

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The nurse read the patient's health history cranial nerve III oculomotor paralysis. Which of the following would the nurse expect?

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