During a neurological assessment, the nurse asks the client to puff out both cheeks. Which cranial nerve is the nurse assessing?
A. Vagus
B. Facial
C. Abducens
D. Oculomotor
Ans: B. Facial
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Order: Coumadin 7.5 mg p.o. at 2000 When should this medication be given? _______________
a. 2:00 PM b. 8:00 AM c. 8:00 PM d. 6:00 PM
The nurse notes that a client was treated for labyrinthitis on previous admission. To determine if the problem has resolved, the nurse asks the client:
A) "Have you noticed any drainage from your ears?" B) "Are you still having earaches?" C) "Do you ever have ringing in your ears?" D) "Are you having difficulty with your balance?"
A common method for estimating gestational age of a newborn is to assess:
a. middle finger length. b. creases on the sole of the foot. c. umbilical placement. d. visual acuity.
A patient recovering from a lung transplant will have denervation of the lung tissue. What should the nurse include when planning this patient's care? Select all that apply.
A. Performing postural drainage twice a shift. B. Ensuring oxygen delivery is below 2 L. C. Administering mucolytics every 2 hours. D. Scheduling deep breathing and coughing every 2 hours. E. Positioning for chest vibration and percussion twice per shift.