The nurse assesses the glossopharyngeal nerve (CN IX) by testing which reflex?
a. Corneal reflex
b. Gag reflex
c. Blink reflex
d. Cough reflex
ANS: B
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A client tells the nurse about feeling pressure to spend every Sunday with family. However, the client's spouse does not want to participate and stays at home waiting for the client to return
Which is determining this client's self-concept? A) Family and culture B) History of successes and failures C) Stressors D) Resources
The nurse is discussing follow-up care with a client who is being discharged. The client and family cross their arms and state angrily that the team's suggestions are not acceptable
Which response by the nurse is appropriate? A) "We will leave you alone to discuss your options." B) "We only want what's best for you." C) "Let's discuss other options that might work well for you and your family." D) "Perhaps you did not understand the recommendations."
A patient receiving chemotherapy and prescribed ondansetron (Zofran) asks why the drug is given before meals. What is your best response?
a. "Ondansetron is given 30 minutes before your meals to prevent nausea." b. "The purpose of ondansetron is to move food rapidly through your GI tract." c. "Ondansetron works by preventing nausea caused by morphine given for your pain." d. "If ondansetron is given after your meals, food would interfere with its absorption."
A nurse is caring for a client who has just had organ transplant surgery. Which nursing intervention should the nurse perform in case a rejection response is seen in the client?
A) Administer prescribed specific anti-rejection medication. B) Ensure that the client does not entertain visitors. C) Ensure that the client consumes only a liquid diet after surgery. D) Administer prescribed cytokines through injection.