When performing a cranial nerve assessment on an adult client, the nurse assesses the trigeminal nerve by:
A) asking the client to smile.
B) eliciting the client's gag reflex.
C) having the client turn his head.
D) eliciting the client's blink reflex.
Ans: D
Feedback:
To assess the trigeminal or cranial nerve V, the nurse should elicit the blink reflex with a cotton swab.
You might also like to view...
A nurse is assessing an older adult patient with cardiovascular disease who has been prescribed a calcium channel blocker. Why does the nurse consider that the patient may be at risk for depression?
1. Use of a calcium channel blocker increases risk for depression. 2. Chronic illness increases risk for depression. 3. Older age increases risk for depression. 4. Cardiac rehabilitation increases risk for depression.
75 year old male client who weighs 175 lbs has a serum creatinine of 1mg/dl
Using the Cockcroft-Gault formula, the client's calculated creatinine clearance rate (esti-mated glomerular filtration rate) is:
A patient who had a Mantoux test for tuberculosis two days ago has a 2 mm area of erythema at the site of the test. The nurse concludes that this patient's response
1. is negative. 2. is positive for tuberculosis. 3. should be followed up with a tine test. 4. is unable to determine the presence of tuberculosis.
Which of the following statements best demonstrates an appropriately written behavioral objective?
a. "The learner will be able to verbally explain the need for political action." b. "The panel of experts will have discussed knowledge, assumptions, and cultural values." c. "The participant will understand the material presented." d. "The teacher will distribute and collect evaluation forms."