A nurse is assessing a client's cranial nerves. Which of the following methods should the nurse use to assess cranial nerve V?
Listen to the client's speech.
Ask them to read a Snellen chart.
Ask them to identify scented aromas.
Ask them to clench their teeth.
The Correct Answer is D
A. Listening to speech primarily involves cranial nerves related to speech production (e.g., CN V, CN VII, CN XII) but not specifically for CN V.
B. Reading a Snellen chart assesses visual acuity, primarily involving cranial nerve II (optic nerve).
C. Identifying scented aromas involves olfactory nerve (cranial nerve I) assessment.
D. Asking the client to clench their teeth evaluates the function of the muscles of mastication, which is controlled by cranial nerve V (trigeminal nerve).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Anorexia refers to a loss of appetite or lack of interest in food, not difficulty swallowing.
B. Aphasia is a language disorder that affects a person's ability to communicate, not related to swallowing difficulties.
C. Dysphagia is the medical term for difficulty swallowing, which can involve medications and food, potentially due to various causes like neurological conditions or structural issues.
D. Dysphasia refers to difficulty with speech or language, not directly related to swallowing difficulties.
Correct Answer is A
Explanation
A. 4+ edema is characterized by very deep pitting, where the indentation remains for an extended period (several minutes), indicating severe fluid accumulation in the tissue.
B. Deep pitting that lasts for a few minutes is more consistent with 2+ or 3+ edema, not the severe 4+ edema described.
C. Mild pitting with no perceptible swelling does not align with 4+ edema; this level of pitting suggests minimal fluid accumulation.
D. Moderate pitting where the indentation subsides rapidly is indicative of 2+ edema, not the profound swelling described as 4+ edema.
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