A nurse is collecting data about a client's cranial nerves. Which of the following methods should the nurse use to identify a problem with cranial nerve II?
Assess the 6 cardinal gazes
Ask the client to her clench teeth.
Anticipate the use of a tonometer
Use a Snellen chart.
The Correct Answer is D
a) Assess the 6 cardinal gazes: This test assesses cranial nerve III, IV, and VI (oculomotor, trochlear, and abducens), which control eye movement, not the optic nerve.
b) Ask the client to clench teeth: This tests cranial nerve V (trigeminal nerve), which controls sensation in the face and motor functions like chewing.
c) Anticipate the use of a tonometer: A tonometer measures intraocular pressure (IOP), which is related to glaucoma, but it does not specifically assess cranial nerve II.
d) Use a Snellen chart: The Snellen chart is used to test visual acuity, which evaluates the function of cranial nerve II (optic nerve).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a) Bleeding ulcer: Not associated with glomerulonephritis.
b) Fungal infection: Fungal infections do not typically cause glomerulonephritis.
c) Hypertension: A symptom rather than a cause of glomerulonephritis.
d) Streptococcal infection: Glomerulonephritis often follows a streptococcal infection.
Correct Answer is C
Explanation
a) Has no serious complications: Bacterial pharyngitis, especially streptococcal pharyngitis, can have serious complications, such as rheumatic fever or glomerulonephritis, which are not seen with viral pharyngitis.
b) Presents a negative culture: Bacterial pharyngitis typically presents with a positive throat culture for bacteria, while viral pharyngitis typically shows a negative culture.
c) Has an abrupt onset: Bacterial pharyngitis often has a sudden and severe onset of symptoms, while viral pharyngitis tends to have a more gradual onset.
d) Presents a normal complete blood count (CBC): In bacterial pharyngitis, the CBC may show an elevated white blood cell count, while in viral pharyngitis, the CBC may remain normal or slightly elevated.
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