During an assessment of the cranial nerves, the nurse asks the client to smile, frown, wrinkle the forehead, and puff out the cheeks. What nerve is being tested by this action?
A) Cranial nerve I
B) Cranial nerves II and III
C) Cranial nerve VII
D) Cranial nerve VIII
Ans: C
Cranial nerve VII is the facial nerve tested by smiling, frowning, wrinkling the forehead, and puffing out the cheeks. CNI is the olfactory nerve, CNII and III are the optic and oculomotor nerves, and CNVIII is the acoustic nerve.
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During a physical assessment, the nurse notes a patient has profuse secretions of sweat. The nurse should document that the patient is experiencing:
a. dyspnea. b. cyanosis. c. diaphoresis. d. ecchymosis.
A patient reports having occasional periods of tremors, palpitations, nausea, and a sense of fear, which usually dissipate within 30 minutes. To treat this condition, the nurse anticipates the pro-vider will prescribe a drug in which drug class?
a. Benzodiazepines b. Monoamine oxidase inhibitors c. Selective serotonin reuptake inhibitors d. Tricyclic antidepressants
An 89-year-old patient is taking an antihypertensive medication. Home care teaching by the nurse would include instructing the patient to:
1. get up out of bed slowly. 2. take hot baths. 3. report sexual dysfunction immediately. 4. stop taking the drug if side effects occur.
In which order will the nurse take the following actions when caring for a patient who develops watery diarrhea and a fever after prolonged omeprazole (Prilosec) therapy? (Put a comma and a space between each answer choice [A, B, C, D].)
a. Contact the health care provider. b. Assess blood pressure and heart rate. c. Give the PRN acetaminophen (Tylenol). d. Place the patient on contact precautions.