During a problem-based history, a client reports having difficulty swallowing. Based on this information, how does the nurse assess the appropriate cranial nerve?
a. By asking the client to stick out the tongue and move it in all directions
b. By asking the client to move the head to the right and left
c. By observing the symmetry of the face when the client talks
d. By assessing for taste on the anterior part of the tongue
ANS: A
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A pregnant client who swims 3–5 times per week asks the nurse if she should stop this activity. What is the appropriate nursing response?
1. "You should decrease the number of times you swim per week." 2. "You should continue your exercise program, because it would be beneficial." 3. "You should discontinue your exercise program immediately." 4. "You should increase the number of times you swim per week."
The nurse is explaining factors that affect an individual's body alignment, mobility and daily activity level
Examples of client factors that might decrease mobility and activity include:(Select all that apply) Standard Text: Select all that apply. 1. Vestibular disorder 2. Spina bifida 3. Anemia 4. Overnutrition 5. Ear canal infection
Which of the following statements is a myth associated with aging?
a. The majority of older adults live above the poverty level. b. Most older adults live either in a family set-ting or within 30 minutes of a child. c. Senility is an expected result of aging. d. Older adults are sexually active.
A patient that appears to be moving around easily and smiling rates their pain at 7 out of 10 and requests pain medication. Which action should the nurse take?
A. Administer half the ordered dose of pain medication. B. Inform the healthcare provider that the client is exaggerating their pain. C. Wait 30 minutes and see if the client is still requesting the pain medicine. D. Administer the pain medication as prescribed.