The nurse suspects a patient may be experiencing dysfunction related to the acoustic nerve (CN VIII). Which action should the nurse take to minimize the patient's risk for injury? Select all that apply.
A. Assessing the patient's gag reflex prior to offering food or liquids
B. Assisting the patient with bedside sitting or toileting
C. Assessing the patient's vision using a Snellen chart
D. Placing a red "falls risk" bracelet on the patient's arm
E. Identifying the patient's fall risk category
Answer: E
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A toddler had a minor fall and now has a swollen, bruised, painful knee. What diagnostic test is most important for the nurse to educate the parents about?
A. Complete blood count B. Plasma factor assay C. Plasma ferritin level D. Platelet count
Bruits are best heard with the:
A) Fetoscope. B) Diaphragm. C) Bell. D) Unassisted ear.
Which quality is rarely found in democratic leaders?
a. Assertiveness b. Arrogance c. Desire for new learning d. Effective communication
Under which circumstance would it be unnecessary for the nurse to perform a vaginal examination?
a. An admission to the hospital at the start of labor b. When accelerations of the fetal heart rate (FHR) are noted c. On maternal perception of perineal pressure or the urge to bear down d. When membranes rupture