Which cranial nerve is assessed when a nurse asks a patient to stick out the tongue and move it side to side?
a. Vagus nerve (CN X)
b. Facial nerve (CN VII)
c. Abducens nerve (CN VI)
d. Hypoglossal nerve (CN XII)
ANS: D
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The nurse lists the clinical signs of death for the client who is not on artificial life support, including: Standard Text: Select all that apply
1. Cessation of apical pulse. 2. Cessation of respirations. 3. Cessation of blood pressure. 4. Total lack of response to external stimuli. 5. Absence of electric currents from the brain.
Which instruction is most important to teach a patient using an aerosol inhaler with a spacer?
a. "Breathe in rapidly until the spacer makes a continuous whistling sound." b. "Seal your lips tightly around the spacer's mouthpiece." c. "Release both doses into the spacer before breathing in." d. "Avoid breathing back into the spacer."
Which condition alerts you to assess a patient for worsening heart failure?
a. Blood pressure of 106/40 mm Hg b. Pounding headache c. Foul urine odor d. Ankle swelling
The actions of the mixed-acting sympathomimetics are _____ the adrenergic receptor sites and _____ the release of norepinephrine
a. stimulating; inhibiting b. stimulating; stimulating c. inhibiting; inhibiting d. inhibiting; stimulating