The client is returning from the operating room following a bronchoscopy. Which action, performed by the nursing assistant, would the nurse stop if began prior to nursing assessment?
A) The nursing assistant is assisting the client to a semi-Fowler's position.
B) The nursing assistant is assisting the client to the side of the bed to use a urinal.
C) The nursing assistant is pouring a glass of water to wet the client's mouth.
D) The nursing assistant is asking a question requiring a verbal response.
C
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When completing a procedure which sends a scope down the throat, the gag reflex is anesthetized to reduce discomfort. Upon returning to the nursing unit, the gag reflex must be assessed before providing any food or fluids to the client. The client may need assistance following the procedure for activity and ambulation but this is not restricted in the post procedure period.
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To assess function of cranial nerve VIII, the nurse would be correct in completing which of the following assessment techniques?
A) Have the patient identify familiar odors with his eyes closed B) Assess papillary reflex C) Utilize the Snellen chart D) Test for air and bone conduction (Rinne's test)
The client has been started on Sinemet. She is also being treated with an MAO inhibitor medication. The nurse anticipates that which of the client's vital signs should be most closely monitored?
a. Blood pressure b. Apical pulse c. Temperature d. Respirations
Who is more likely to contribute a genetic mutation to their offspring?
a. Tynesha, a 19-year-old woman b. David, a 26-year-old man c. Ling, a 35-year-old woman d. Rashid, a 48-year-old man