During a craniotomy, the patient experienced peripheral damage to cranial nerve 7, resulting in diminished movement of the left side of the face. What nursing action demonstrates best understanding of the effect of this lesion on the patient?
A) Referral for speech therapy and swallowing assessment
B) Use of ocular moisturizers
C) Teaching about falling and syncope risks
D) Referral for evaluation for a hearing aid
B
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What self-observation does the nurse make that indicates that the nurse is "on the road" to CULTURALCOMPETENCY?
A. Individual culture and religion B. Socialized by society C. Adhering to ways to protect health that are consistent with the dominant culture D. Avoiding the use of amulets
An older man who is admitted to the hospital for surgery has a history of medication therapy for hypertension. Which intervention does the nurse implement when the client reports that, "I've fallen twice in 5 weeks"?
a. Blood pressure monitoring every 2 hours b. Orthostatic blood pressures c. Serum creatinine levels d. Blood levels of prescribed antihypertensive medications
While gathering a baseline history about a patient, a nurse is told by a team social worker that the patient "acts weird and has bad hygiene.". The nurse's responsibility is to:
a. accept the data without question. b. form impressions based on data personally gathered. c. document the impression of the team social worker. d. discuss the social worker's impression with the patient.
After giving perineal care, rinse and store the washcloth for later use.
Answer the following statement true (T) or false (F)