Choose the action the nurse should take to elicit the oculocephalic response in a motor vehicle accident victim who is unconscious
a. Use a wisp of cotton to stimulate the cor-nea.
b. Hold the eyelids open while turning the client's head.
c. Squirt ice water into the client's ear canal.
d. Hold both eyelids open and shine a bright light into the eyes.
B
You might also like to view...
A baby's muscular development progresses in what type of pattern?
a. Regressive b. Erratic c. Cephalocaudal d. Unpredictable
The American Academy of Pediatrics has said that discipline should not only include setting limits and punishing for wrongdoing but also help children learn:
a. rules, regulations, and goals of living in a world with others b. never to do the offending behavior again c. the feeling of guilt d. to be remorseful for wrongdoing to others
The student nurse is obtaining a client's respirations. Which action is appropriate when the student nurse is counting the adult client's respirations?
A) Keep fingertips on the client's pulse when counting respirations. B) Count respirations when the client is sleeping or resting. C) Apply pressure on the client's chest when counting respirations. D) Count the client's respirations for 1 minute.
In making home visits, there are rules as to which problems must be confronted first. What must be the first priority?
A. Consistency with agency rules and procedures B. Legally, whatever the medical referral requires C. Unless a medical emergency, whatever the client feels is most important D. What the nurse's professional judgment determines to be the major threat to health