During a neurological assessment, the nurse asks the client to close the jaws tightly, after which the nurse tries to open the closed jaws. In this technique, the nurse is assessing the motor function of the:
A. Trochlear nerve
B. Abducens nerve
C. Trigeminal nerve
D. Oculomotor nerve
Ans: C. Trigeminal nerve
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A nurse assessing welts on the body of a 2-year-old Vietnamese child should consider the skin lesions might be the result of the cultural practice of __________
ANS:
The nurse teaches noninvasive pain relief techniques such as guided imagery, biofeedback, and relaxation because their primary advantage is that they:
a. can be done any time. b. do not require a nurse. c. give the patient some control. d. are most effective.
The nurse is reviewing diagnostic lab work of a client developing shock. Which laboratory result does the nurse note as a key in determining the type of shock?
A) Hemoglobin: 14.2 g/dL B) Potassium: 4.8 mEq/L C) WBC: 42,000/mm3 D) ESR: 19 mm/hour
The nurse is assessing a new patient in the clinic. The nurse knows that the subjective (presumptive) signs and symptoms of pregnancy include:
1. Positive urine pregnancy test, enlarged abdomen, and Braxton Hicks contractions. 2. Positive urine pregnancy test, amenorrhea, fatigue, and softening of the cervix. 3. Increase in urination, amenorrhea, fatigue, breast enlargement, and quickening. 4. Enlarged abdomen and fetal heartbeat.