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A nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect?

The client's pupils constrict in response to light.

The client's tongue is in a midline position:

The client has a symmetrical smile.

The client turns their head against resistance.

Answer and Explanation

The Correct Answer is C

A. This response is associated with cranial nerve II, the optic nerve.

B. Tongue position is associated with cranial nerve XII, the hypoglossal nerve.

C. A symmetrical smile is indicative of cranial nerve VII, the facial nerve.

D. This action is associated with cranial nerve XI, the accessory nerve.

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Correct Answer is B

Explanation

A. A transfer belt should be removed after the transfer is completed, as it can cause skin irritation or pressure ulcers if left in place for too long.
B. Lowering the footplates before transferring the client from the bed helps to prevent injury to the client's feet and legs during the transfer.
C. Backing the wheelchair into the elevator is not necessary, as long as there is enough space to maneuver the wheelchair inside.
D. Positioning the client so their weight is shifted forward can make the transfer more difficult and increase the risk of falling.

A. Notify the facility's risk management team. B. Assess the client for a change in condition. C. Place an incident report in the client's electronic medical record. D. Administer an antidote before notifying the provider.

Correct Answer is B

Explanation

A. While it may be necessary to notify risk management eventually, the immediate priority is to ensure the client's safety and well-being.
B. The nurse should promptly assess the client for signs and symptoms of an allergic reaction and initiate appropriate interventions as necessary.
C. Documentation of the medication error and allergic reaction should be completed after ensuring the client's immediate needs are addressed.
D. Administering an antidote may be appropriate in certain situations, but the nurse should first assess the client's condition and follow established protocols for managing allergic reactions.

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A nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect?

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