The nurse performs that technique shown when assessing the client. What cranial nerve is the nurse assessing?
XII
V
VII
XI
The Correct Answer is C
A. XII: Cranial nerve XII (hypoglossal) controls tongue movements, but is not typically assessed by the technique described.
B. V: Cranial nerve V (trigeminal) is assessed for facial sensation and mastication, not the technique in question.
C. VII: Cranial nerve VII (facial) is responsible for facial expressions and is assessed by asking the client to perform various facial movements.
D. XI: Cranial nerve XI (accessory) is involved in shoulder and neck movements, not facial expressions.
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Related Questions
Correct Answer is D
Explanation
A. Stasis ulceration: While stasis ulcers can occur in the context of venous insufficiency, the description of warm skin and brown pigmentation more directly suggests venous insufficiency.
B. Arterial occlusion: This condition typically presents with cold, pale skin and possible pain or cramping, rather than warm skin and pigmentation.
C. Dependent edema: Dependent edema involves swelling due to fluid accumulation but does not necessarily cause pigmentation changes around the ankles.
D. Venous insufficiency: Warm skin and brown pigmentation around the ankles are indicative of venous insufficiency, a condition where blood flow in the veins is impaired, leading to these symptoms.
Correct Answer is A
Explanation
A. Tuning fork: A tuning fork is used in auditory assessments, such as hearing tests, to evaluate hearing loss and bone conduction.
B. Stethoscope: While a stethoscope is essential for auscultation of heart and lung sounds, it is not used for examining the ears.
C. Ophthalmoscope: An ophthalmoscope is used for examining the eyes, not the ears.
D. Tongue depressor: A tongue depressor is used for examining the mouth and throat, not the ears.
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