The patient reports an inability to taste. What is the most appropriate action for the nurse to take?
Test the hypoglossal nerve.
Evaluate the function of the Cranial nerve XI (11)
Test the glossopharyngeal nerve.
Evaluate sensory function.
The Correct Answer is D
The sense of taste is primarily mediated by the facial nerve (cranial nerve VII) and the glossopharyngeal nerve (cranial nerve IX). However, testing the function of specific cranial nerves such as the hypoglossal nerve (cranial nerve XII) or cranial nerve XI (11) is not directly related to evaluating the patient's ability to taste. Therefore, options a, b, and c would not be the most appropriate actions for the nurse to take in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse will document the patient's chest pains that move down her left arm as radiating pain. Radiating pain is a type of pain that starts at a specific point and spreads outwards to other areas of the body. In this case, the pain starts in the chest and moves down the left arm, which is a common symptom of cardiac or heart-related issues. Phantom pain is a type of pain that is perceived to be present in a body part that has been amputated or lost. Referred pain is pain that is felt in a different part of the body from where the actual problem is located. Somatic pain is pain that arises from the skin, muscles, bones, or connective tissues.
Correct Answer is C
Explanation
Option c, clarity, odor, and amount is the correct answer. These are important parameters to assess when inspecting urine. The clarity of the urine can indicate the presence of particles or bacteria.
The odor of the urine can provide clues about potential infections or other medical conditions. The amount of urine can help to assess hydration status and kidney function.
Option a, consistency, clarity, and articulation is not applicable to urine as urine is a liquid and does not have consistency or articulation.
Option b, consistency, residual, and odor is partially correct. Residual urine can be assessed through other methods such as ultrasound or catheterization, but it is not typically assessed through a visual inspection of the urine.
Option d, clarity, firmness, and amount, is not applicable to urine as urine does not have firmness.
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