Examination to assess for extraocular muscle imbalance is conducted by:
a. comparing pupillary responses to different shapes.
b. having the patient follow your finger through planes.
c. inspecting slightly closed lids for fascicu-lations.
d. transilluminating the cornea with tangen-tial light.
B
The test for extraocular muscle function is to have the patient follow an object as you move it through planes of vision while observing for nystagmus.
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A nurse is caring for a client who is bedridden following a stroke. The client has been lying in bed for a long time. Which of the following body positions has the highest potential for causing foot drop in a bedridden client?
A) Supine B) Prone C) Lateral D) Sims'
A client diagnosed with oral candidiasis has voiced concerns about why she has gotten this disorder. She reports she has not been ill. What response by the nurse is indicated?
A) Candidiasis is a bacterial infection that may be transmitted by contact with dirty utensils. B) The candidiasis infection is caused by a virus. C) Candidiasis is an infection that results when there is an alteration in the normal flora of the mouth. D) Candidias is often caused by eating spicy or irritating foods.
Your client is about to have a skin test for an allergic disorder. What critical instruction should the nurse give this client?
A) Avoid red meat for 48 to 72 hours before the test. B) Avoid strenuous physical activity for 24 hours before the test. C) Avoid antihistamines and cold preparations for 48 to 72 hours before the test. D) Avoid sunlight for 48 to 72 hours before the test.
The spouse of a patient admitted with severe head injury tells the nurse that she believes her husband is going to recover because he is continuing to make movements without stimulation. What should the nurse explain to the spouse?
1. "With head injuries, the patient can continue to make movements, but these are reflexes that do not reflect brain function." 2. "Your husband will likely recover in time." 3. "As long as he has oxygen to the brain, he will recover." 4. "His movements indicate that his brain is dead."