During your assessment of a patient for doll's eyes phenomenon, you observe that the patient's eyes remain fixed. This response most likely indicates
a. a normal finding. c. injury to cranial nerves III, IV, and VI.
b. damage to the lower brainstem. d. hematoma formation behind his eyes.
B
Normally, the eyes should deviate in the direction opposite the head movement (i.e., head left, eyes right; head up, eyes down, etc.). Loss of doll's eyes phenomenon is abnormal and is demonstrated when the eyes remain fixed with neither lateral nor vertical deviation. Patients with low brainstem lesions will exhibit abnormal doll's eyes phenomenon. Doll's eye phenomenon involves cranial nerve III, but not hematoma formation behind the eyes.
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Which of these categories are included in a nursing minimum data set?
a. a client's major complaint and a listing of any known allergies b. nursing interventions classification c. demographics, service, and nursing care d. nursing diagnoses
When caring for a laboring patient with oligohydramnios, the nurse should be aware that: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. There is an increased risk of cord compression. 2. Respiratory support personnel should be standing by at the birth. 3. Labor progress is often more rapid than average. 4. Early decelerations are more likely. 5. During gestation, fetal skin and skeletal abnormalities can occur.
The nurse is caring for new parents. During her education session, the nurse instructs the parents on a newborn's sleep patterns. Which statement is accurate about a newborn's sleep patterns?
A) Newborns have shorter periods of REM sleep. B) Newborns are inactive when awake. C) Newborns will nap two times per day. D) Newborns sleep 16 to 17 hours per day.
The system that lines the internal lumen of the tracheobronchial tree and consists of a thin layer of mucus that constantly is propelled toward the larynx by cilia is called the _____________
Fill in the blank(s) with correct word