The cranial nerves are usually assessed while the patient is in which position?
a. Standing
b. Supine
c. Sitting
d. Prone
C
While the patient is in the sitting position, you can assess all cranial nerve functions.
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A parent of a newborn asks the nurse why young children seem to become ill so often when compared with older children and adults. Which of the following does the nurse's best response address?
1. Lower numbers of natural killer cells in younger children 2. High levels of IgA in the newborn 3. Absent lymphoid tissue in the young child 4. Underdeveloped thymus glands in the infant
During an examination, the nurse notices severe nystagmus in both eyes of a patient. Which conclusion by the nurse is correct? Severe nystagmus in both eyes:
a. Is a normal occurrence. b. May indicate disease of the cerebellum or brainstem. c. Is a sign that the patient is nervous about the examination. d. Indicates a visual problem, and a referral to an ophthalmologist is indicated.
A nurse tearfully confides to the head nurse that being assigned to care for eight patients is stressful and overwhelming. What demonstrates the use of a healthy coping mechanism?
a. Writing down long lists of needed interventions before starting the day's work b. Delegating appropriate care assignments to nursing assistants c. Asking a co-worker to take one of her patients d. Asking for the day off
An infant is diagnosed with a congenital cataract. Which of the following would the nurse expect to assess?
A) Absent red reflex B) Rapid irregular eye movement C) Misalignment of the eyes D) Enlarged eye appearance