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
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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Related Questions
Correct Answer is D
Explanation
A. Clammy skin may indicate various conditions, including shock or anxiety, but it is not
specifically indicative of deep-vein thrombosis. It is not the most concerning finding in this scenario.
B. Tortuous veins refer to veins that are twisted or enlarged, often visible on the surface of the skin. While tortuous veins may be present in some cases of deep-vein thrombosis, they are not a definitive sign and are less concerning than other symptoms.
C. Bradycardia, a slower than normal heart rate, is not typically associated with deep-vein
thrombosis. It may indicate other cardiovascular or systemic issues but is not the priority in this situation.
D. Calf swelling, especially unilateral swelling, is a common and concerning sign of deep-vein
thrombosis. It results from impaired venous return due to the presence of a blood clot in the deep veins of the leg. Prompt reporting of this finding is essential for further evaluation and
intervention.
Correct Answer is C
Explanation
A. While obtaining consent from the client is ideal, it may not be appropriate if the client is unable to understand and make an informed decision due to their developmental disability.
B. The provider cannot sign the consent form in place of the legal guardian or the patient, as this would be a conflict of interest.
C. In emergency situations where delaying the procedure could jeopardize the client's life, and the appointed guardian cannot be reached, implied consent is assumed. This means that life-saving treatment can proceed without formal consent.
D. Postponing an emergency procedure that is necessary to save the client's life is not appropriate. In such cases, the surgery should proceed under implied consent.
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