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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Obtaining the client's type and cross-match is the first action the nurse should take because it ensures that the client will have compatible blood available for transfusion if needed during surgery.
B. This is important but should only be done after obtaining the client’s type and cross-match.
C. This should be done after obtaining the client’s type and cross-match.
D. While an incident report may be necessary, the immediate priority is to address the oversight and ensure patient safety.
Correct Answer is A
Explanation
A. Denial is the first stage of grief, in which the person refuses to accept the reality of their situation and tries to maintain a sense of normalcy. The client who says they are looking forward to seeing their grandchildren grow up is denying the fact that they have a terminal illness and that they may not live long enough to witness that.
B. Bargaining involves making deals with self and God to help feel better, for instance, in this case the client will be expressing the will to do anything to prolong his life.
C. Acceptance involves coming to terms with the reality of the situation and preparing for death. The client's statement does not indicate full acceptance.
D. Anger involves feelings of resentment or frustration. The client's statement does not express anger towards their situation.
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