A nurse inspecting a client's throat touches the posterior wall with a tongue blade and elicits the gag reflex. The nurse documents normal function of which nerve?
A. Cranial nerve V
B. Cranial nerve XII
C. Cranial nerves I and II
D. Cranial nerves IX and X
Ans: D. Cranial nerves IX and X
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A pregnant woman who is due to give birth in 2 weeks is shot in the shoulder during a robbery. Estimated blood loss at the scene was 500 mL, and she lost another 500 mL during surgical repair
The patient is admitted to the CCU and is in a supine position. Which initial assessment findings would the nurse anticipate? A) Vital signs consistent with compensated shock B) Slightly high pulse and blood pressure, alert and oriented, skin warm C) Severe and constant lower abdominal pain D) Severe tachycardia and hypotension, obtunded, skin cool and pale
The family member of a terminal patient asks, "Why doesn't my mom speak to us anymore? She just gestures for us to come hold her hand. What is going on?"
Based on this data, which response by the nurse is most appropriate? 1) "Your mom is losing her ability to talk. That is why she is using gestures." 2) "I think your mom would really prefer to die alone." 3) "Your mom has entered the stage of acceptance. She wants to be close to her family and feel your touch." 4) "I am not sure what you mom is experiencing. It could be that she is not coherent anymore. Do you want me to call the doctor?"
A nursing instructor evaluates whether the students know the five rights of delegation. The students would be correct if they responded that these rights are which of the following?
a. Right task, right circumstance, right route, right communication, and right person b. Right task, right circumstance, right person, right communication, and right supervision c. Right communication, right person, right task, right time, and right evaluation d. Right time, right task, right person, right communication, and right supervision
Phenothiazine medications exert their antiemetic properties by:
A) promoting the secretion of hormones in the brain that depress the function of the medulla oblongata. B) antagonizing dopaminergic receptor sites in the brain, which suppresses the function of the hypothalamus. C) blocking histamine-2 receptors, which inhibits gastric acid production and slows peristalsis. D) activating dopaminergic receptors in the brain and releasing hormones that depress the reticular activating system.