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A nurse is collecting data about cranial nerve function from an adult client. Which of the following images depicts the method the nurse should use to check the function of the hypoglossal cranial nerve (XII)?

Image A

B.

C.

Image B

Image C

Image D

Image A

Image B

Image C

Image D

Answer and Explanation

The Correct Answer is A

A. The hypoglossal nerve is tested by checking for tongue deviation.

B. This action tests the facial nerve

C. This action tests the trigeminal nerve

D. This action tests the spinal accessory nerve

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Correct Answer is C

Explanation

A. Wearing shoes with smooth soles may increase the risk of slipping and falling, especially for a client with mobility issues. It is not a safe recommendation.
B. Moving the cane forward 18 inches is too far and may lead to instability during ambulation.
Typically, the cane should be moved forward only about 6 to 12 inches.

C. Holding the cane on the stronger side provides better support and stability, as it allows the client to bear weight on the stronger side while using the cane for balance and support on the weaker side.
D. Moving the stronger leg forward before the weaker leg is a correct step in the gait pattern when using a cane or other assistive device for walking. However, the statement does not
specifically address the use of the quad cane.

A. Use a 10-mL syringe filled with cleansing solution. B. Dry the wound bed with gauze squares. C. Cleanse the wound with cotton balls. D. Hold the syringe tip 2.5 cm (1 in) above the upper end of the wound.

Correct Answer is A

Explanation

A. Using a 10-mL syringe filled with cleansing solution provides appropriate pressure for effective wound irrigation.
B. Drying the wound bed with gauze squares is not typically recommended as it may disrupt healing and cause trauma to the wound.
C. Cleansing the wound with cotton balls may leave fibers behind and is not the most effective method of wound irrigation.
D. Holding the syringe tip 2.5 cm (1 in) above the wound is incorrect; the tip should be inserted into the wound to facilitate thorough irrigation.

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A nurse is collecting data about cranial nerve function from an adult client. Which of the following images depicts the method the nurse should use to check the function of the hypoglossal cranial nerve (XII)? Image A B. C. Image B Image C Image D

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A nurse is reinforcing teaching with a client about the use of a quad cane. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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A nurse is collecting data about cranial nerve function from an adult client. Which of the following images depicts the method the nurse should use to check the function of the hypoglossal cranial nerve (XII)?

Image A

B.

C.

Image B

Image C

Image D