The nurse is caring for a patient with an injury to cranial nerve X. Which of the following should the nurse assess in this patient?

1. appetite
2. burning
3. reflux
4. bowel sounds


4

Rationale: Parasympathetic innervation to the gastrointestinal tract comes from cranial nerve X, the Vagus nerve. Parasympathetic stimulation of the organs within the gastrointestinal system is responsible for stimulating the normal functions of the gastrointestinal system, such as processing of food, propulsion of contents through the gastrointestinal tract, and absorption of nutrients. The nurse should assess the patient's bowel sounds. Appetite, burning, and reflux would not be affected by cranial nerve X.

Nursing

You might also like to view...

The effects of nitrous oxide include

a. anesthesia, analgesia, and amnesia. b. vasodilation, analgesia, and myocardial depression. c. respiratory and cardiovascular depression. d. bronchodilation, myocardial excitation, and muscle tremors.

Nursing

The home health care nurse is preparing a care plan for a client admitted with anemia. The client currently lives alone and states, "I can't even take a shower without getting winded

" Which of the following would be the priority nursing diagnosis for this client? A) Activity intolerance B) Anxiety C) Hopelessness D) Altered nutrition: less than body requirements

Nursing

A mother brings in her 2-year-old who has ingested gasoline 1 hour earlier. What should the nurse implement following the initial assessment?

a. Prepare to administer syrup of ipecac. b. Turn the patient on his or her stomach to induce vomiting. c. Prepare to administer Milk of Magnesia. d. Prepare to administer bowel lavage and cathartics.

Nursing

Which of the following events best describes how judicial law is typically created?

a. Suggestions from agency personnel b. Case precedents or similar previous court decisions c. Extensive public debate and a legislative vote d. Decisions made by judges

Nursing