A nurse palpates the patient's jaw movement by placing two fingers in front of each ear and asking the patient to slowly open and close the mouth. What movement does the nurse ask the patient to do next?
a. Move the jaw side to side.
b. Swallow.
c. Smile.
d. Clench the teeth together.
ANS: A
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The nurse is caring for a patient who is postoperative day 2 following a total laryngectomy for supraglottic cancer. The nurse should prioritize what assessment?
A) Assessment of body image B) Assessment of jugular venous pressure C) Assessment of carotid pulse D) Assessment of swallowing ability
The dose on hand is the amount given at one time
Indicate whether the statement is true or false
A patient who wishes to have an unmedicated birth is in the transition stage. She is very uncomfortable and turns frequently in the bed. Her partner has stepped out momentarily. How can the nurse be most helpful?
1. Talk to the patient the entire time. 2. Turn on the television to distract the patient. 3. Stand next to the bed with hands on the railing next to the patient. 4. Sit silently in the room away from the bed.
The nurse notices that a patient has spoon-shaped, brittle nails. This suggests that the patient is experiencing Imbalanced Nutrition:
Less Than Body Requirements related to deficiency of which of the following nutrients? a. Iron b. Vitamin A c. Protein d. Vitamin C