A client is diagnosed with an inability to recognize visual information. The nurse realizes that which of the following cranial nerves is involved in the transmitting of visual stimuli to the brain for interpretation?
1. CN II
2. CN III
3. CN IV
4. CN VI
1
The optic nerve is the second cranial nerve and is responsible for the transmitting of visual stimuli. Cranial Nerves III, IV, and VI control extraocular eye movements.
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A patient's ICP is 34 mm Hg, and his cerebral perfusion pressure is 65 mm Hg. Which of the following is the most appropriate intervention?
a. These are normal values, and no interventions are required. b. Administer mannitol 1 to 2 g/kg IV. c. Have the patient lie flat in bed. d. Suction the patient to see if improving his airway will help his ICP.
A patient admitted with nephrotic syndrome is being cared for on the medical unit. When writing this patient's care plan, based on the major clinical manifestation of nephrotic syndrome, what nursing diagnosis should the nurse include?
A) Constipation related to immobility B) Risk for injury related to altered thought processes C) Hyperthermia related to the inflammatory process D) Excess fluid volume related to generalized edema
A community nurse working in a rural area is planning programming to meet community needs. Which program option should the nurse develop?
a. Adolescents who need after-school activities b. Free or reduced cost immunizations for children c. Mother–parent classes for expectant families d. Older residents who have chronic illnesses
A client who has undergone abdominal surgery is refusing hyromorphone (Dilaudid) because she has heard that people may become addicted. She is crying and rates her pain as 10 of 10
Which of the following statements should the nurse include as part of the patient's education? Select all that apply. 1. Narcotics result in addiction in less than 1% to 3% of patients. 2. Untreated pain can result in poor wound healing. 3. Patients with uncontrolled pain have increased risk of blood clots. 4. Dehydration can result from poorly managed pain. 5. Family members will not want to visit patients with visible signs of pain.