A community health nurse is providing education to help reduce musculoskeletal injuries in adults. What should the nurse include in these instructions? Select all that apply

Maintaining a body weight appropriate to height and frame

importance of regular exercise

Maintaining a safe home environment

Using proper body mechanics with lifting objects

Outing intake of dairy products

Answer and Explanation

Correct Answer : A,B,C,D

A.   Maintaining an appropriate body weight helps reduce the strain on the musculoskeletal system, including joints and muscles. Excess weight can increase the risk of injuries, especially to weight-bearing joints like the knees and hips.
B.   Regular exercise helps to strengthen muscles, improve flexibility, and maintain healthy joints. It also promotes overall physical fitness, which can prevent injuries by improving body mechanics and resilience.
C.   A safe home environment can help prevent falls and accidents that could lead to musculoskeletal injuries. This includes ensuring that walkways are clear, using non-slip mats, and having proper lighting.
D.   Using proper body mechanics involves techniques such as bending the knees, keeping the back straight, and lifting with the legs rather than the back. This helps prevent strain and injuries when lifting heavy objects.
E.   Dairy products are a source of calcium and vitamin D, which are important for bone health. Reducing dairy intake could impact bone density if not compensated by other sources of calcium and vitamin D.

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Correct Answer is D

Explanation

A. The trigeminal nerve (CN V) is primarily responsible for sensation in the face and the motor control of the muscles used for chewing. It does not have a role in balance or equilibrium, so it would not be the focus when assessing balance issues.
B. The facial nerve (CN VII) controls the muscles of facial expression and provides taste sensation to the anterior two-thirds of the tongue. While it plays a significant role in facial movement and taste, it is not involved in balance or equilibrium.
C. The olfactory nerve (CN I) is responsible for the sense of smell. It does not have any role in balance or equilibrium. Balance issues are not related to the olfactory nerve, so this is not the appropriate focus for balance assessment.
D. The vestibulocochlear nerve (CN VIII) has two major components: the cochlear nerve, which is responsible for hearing, and the vestibular nerve, which is responsible for balance and equilibrium. The vestibular component of CN VIII is crucial for maintaining balance and spatial orientation. When a client reports spontaneous loss of balance, this nerve should be the focus of additional assessment.

A. Stationary soft palate on phonation B. Uvula and soft palate rising bilaterally C. Asymmetrical soft palate D. Deviation of uvula when client says "ah"

Correct Answer is B

Explanation

A. The soft palate should move during phonation. If it remains stationary, it could indicate a problem with cranial nerves IX and X. These nerves control the movement of the soft palate and the muscles involved in phonation.
B. This is the normal finding. During the assessment, when the patient says "ah," the uvula and soft palate should rise symmetrically. This movement indicates that cranial nerves IX and X are functioning properly. If the uvula and soft palate rise bilaterally, it means that both sides of the soft palate are being controlled correctly by these nerves.
C. Asymmetry in the soft palate could indicate dysfunction of cranial nerves IX and X. Normally, the soft palate should rise evenly on both sides when the patient says "ah." An asymmetrical soft palate suggests that one side is not functioning correctly, which may be due to nerve damage or weakness.
D. This is not a normal finding. If the uvula deviates to one side when the patient says "ah," it indicates a problem with the function of the cranial nerves. The deviation is usually towards the side opposite to the weak or affected side. This asymmetry in uvula movement can be due to a weakness or paralysis of the muscles on one side controlled by these nerves.

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A community health nurse is providing education to help reduce musculoskeletal injuries in adults. What should the nurse include in these instructions? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During an assessment of the cranial nerves, a client reports spontaneously losing balance. The nurse should focus additional assessment on which cranial nerve?

Correct Answer is D

Explanation

When assessing cranial nerves IX and X, which of the following would the nurse consider as a normal finding?

Correct Answer is B

Explanation

In the Neuro ICU, a comatose patient has this posture in bed: Upper arms are flexed tight to the sides with elbows, wrists, and fingers flexed. The legs are extended and internally rotated. The nurse interprets this posture as:

Which of the following would the nurse most likely expect to find when assessing a client diagnosed with a frontal lobe contusion (in the Broca's Area) following a motor vehicle accident?

After a physical assessment, the nurse determines that a client has full range of motion of the temporomandibular joint. Which of the following assessments did the nurse complete with the client? Select all that apply.

The nurse is admitting a client to the unit for surgery the next morning. The nurse notes that the client speaks at an accelerated pace and jumps from topic to topic no of which progresses to sensible conversation. What would the nurse document about this client?

The nurse places a coin in the patient's hand, the patient is with eyes closed. The ability to identify an object by feeling it is defined as:

Taste in the 1/3 posterior of your tongue is given by:

The nurse assesses brisk reflexes in a client. The nurse would document this finding as which of the following?