Which of the following tests would be most appropriate for the nurse to use when assessing motor function of the trigeminal nerve?
A) Ask client to differentiate sharp and dull sensations on client's face.
B) Have the client smile, frown and wrinkle the forehead.
C) Palpates temporal and masseter muscles while client clenches teeth.
D) Assess dilatation of pupils with direct light.
C
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A client with depression is receiving electroconvulsive therapy (ECT). Which interventions should the nurse plan when caring for this client?
Select all that apply. A) Maintain nothing-by-mouth status until fully awake. B) Administer intravenous fluids for 8 hours post procedure. C) Place in the lateral recumbent position. D) Provide oral fluids immediately after the procedure. E) Place in the supine position with the head flat.
A nurse visits the grieving family of a client who died following a motor vehicle accident. Which of the following acts by a family member indicates resolution of grief?
A) Talks about the deceased without becoming overwhelmed B) Cries on seeing objects used by the deceased C) Keeps the possessions of the deceased untouched D) Avoids talking about the deceased
A client's urinalysis results reveal a urine osmolarity of 1200 mOsm/L. Which action by the nurse is most appropriate?
a. Initiate a fluid restriction. b. Prepare to administer a diuretic. c. Institute seizure precautions. d. Encourage the client to increase fluid in-take.
The nurse is conducting a newborn assessment and notes that the newborn has an ear malformation. Which will the nurse assess for based on this data?
1) Renal problems 2) Respiratory problems 3) Cardiovascular problems 4) Neurological problems