Following a motor vehicle accident, a client with injuries to the face is tested for muscle strength. The nurse determines that there is adequate strength of the eyes and eyelids when the client is able to:

1. Follow the nurse's finger movements with her eyes.
2. Keep her eyelids closed for 30 seconds.
3. Blink rapidly.
4. Close her eyes tightly.


Answer: 4

1. Following fingers with the eyes measures eye muscles, but not the eyelids.
2. Closing eyelids indicates muscle movement but does not measure strength.
3. Blinking indicates muscle movement but does not measure strength.
4. The ability to shut the eyes tightly indicates intact use of both eye and eyelid muscles.

Nursing

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a. "I want to help you focus away from the voices. I am real, they are not." b. "I will call you a cab later. Right now, it is time for therapy." c. "Why do you think the voices are telling you to go to the bank?" d. "Do you need money?"

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A provider prescribes Crotalidae Polyvalent Immune Fab (CroFab) for a client who is admitted after being bitten by a pit viper snake. Which assessment should the nurse complete prior to administering this medication?

a. Assess temperature and for signs of fever. b. Check the client's creatinine kinase level. c. Ask about allergies to pineapple or papaya. d. Inspect the skin for signs of urticaria (hives).

Nursing

Ramandeep is an active 23-year-old. She works as a part-time nurse during the day and is studying for a postgraduate certificate in the evening

Ramandeep started to wear a bite plate at night after she began to experience jaw pain and headaches. Sometimes the pain radiated to her ear, and she would apply a hot water bottle to it to ease the discomfort. It was not until her husband mentioned to her that he heard her grinding her teeth at night while she was sleeping. She knew then that her headaches might be from temporomandibular joint syndrome, and she went to her dentist to confirm her thoughts. In addition to the bite plate, the dentist also recommended she should continue with the application of heat, use NSAIDs when needed, and incorporate regular relaxation exercises throughout her stressful days. What effect does heat have on nociceptors so that it makes a good nonpharmacologic treatment for pain? Heat and cold treatment are both hypothesized to have an effect on the release of endogenous opioids. What are these chemicals, and why are they hypothesized to be beneficial in the body? Using your knowledge of physiology, how do NSAID analgesics function in the management of pain?

Nursing

The hospital nursing group establishing standards of care for a newly organized patient care unit is looking for internal sources for these standards. Where should these nurses look?

1. Hospital policy and procedures manuals 2. Professional journals and nursing textbooks 3. Previous and relevant court cases 4. State standards of care as defined by the state board of nursing

Nursing