How does the nurse test the function of the patient's spinal accessory nerve (CN XI)?
a. Ask the patient to stick out the tongue and move it side to side.
b. Ask the patient to shrug the shoulders against the resistance of the nurse's hands.
c. Ask the patient to open the mouth and observe the uvula rise when he says "ah."
d. Ask the patient to move the chin to the chest and then up toward the ceiling.
ANS: B
You might also like to view...
A nurse has been assigned to a 55-year-old woman who has a malignant brain tumor. The patient is receiving her first dose of carmustine. It will be critical for the nurse to observe for which of the following?
A) Nausea and vomiting B) Respiratory difficulty C) Inability to drink fluids for 6 hours D) Reddish urine
Which physical effect is the nurse most likely to be concerned about when caring for a client who has had long-term marijuana use?
a. Constipation b. Cardiac dysrhythmia c. Abdominal pain d. Respiratory tract damage
A 51-year-old female client has been reading health magazines and is aware of the fact
that menopausal women are more susceptible to coronary artery disease (CAD). The client arrives at a health care facility eager to know more on the prevention of CAD. What instruction should the nurse offer to help prevent the client from being susceptible to CAD? A) Avoid foods rich in carbohydrates B) Emphasize on crossing legs when sitting C) Emphasize on elevating feet when sitting D) Avoid sugary foods
The government standards regarding mechanical and physical restraints identify that:
A. Alternative measures are to be implemented first B. The nurse's judgment is all that is required for their implementation C. Restraints should be used immediately for all clients who may need them D. Restraints cannot be used except to prevent others from being harmed