When the nurse asks the client to raise the eyebrows and grimace or puff the cheeks, the nurse would be assessing the function of cranial nerve
a. VII.
b. VIII.
c. IX.
d. X.
A
CN VII controls facial expressions and symmetry of the facial features. CN VIII, the vestibulo-cochlear or acoustic nerve, is involved with hearing and balance. CN IX (glossopharyngeal nerve) controls swallow and gag reflexes and supplies some taste. CN X is the vagus nerve and is involved in regulation of heart rate and GI motility.
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A patient, Mary, has talked constantly throughout the group therapy session. She has repeated the same material several times. Other members were initially attentive then became bored, inattentive, and finally sullen
Which intervention would be most effective for the nurse leader to take? a. "Most of you have become quiet. I'm wondering if it might be related to concerns you may have about how the group is progressing today.". b. "Mary has been doing most of the talking. I think it would be helpful for everyone to tell Mary how that has affected your experience of the group.". c. "I noticed that as the group went on, most members became quiet, then disinterested, and now seem almost angry. What is going on?" d. "Mary, you have been doing most of the talking, and others have not had much chance to speak as a result. Could you please yield to others now?"
After birth, the nurse monitors the mother for postpartum hemorrhage secondary to uterine atony. What would increase the nurse's concern about this risk?
a. Hypovolemia b. Iron deficiency anemia c. Prolonged use of oxytocin d. Uteroplacental insufficiency
Prepidil (prostaglandin gel) has been ordered for a pregnant woman at 43 weeks of gestation. The nurse recognizes that this medication will be administered to:
1. enhance uteroplacental perfusion in an aging placenta. 2. increase amniotic fluid volume. 3. ripen the cervix in preparation for labor induction. 4. stimulate the amniotic membranes to rupture.
The parent of a 16-year-old female tells the nurse that the child has not had a menstrual period in spite of having breast and pubic hair development. The nurse recognizes this as characteristic of which condition?
a. Dysmenorrhea b. Hypothyroidism c. Primary amenorrhea d. Secondary amenorrhea