Measurement of the patient's ability to differentiate between sharp and dull sensations over the forehead tests which cranial nerve?
a. Abducens
b. Facial
c. Trigeminal
d. Oculomotor
C
The trigeminal nerve is tested by applying light sensation with a cotton ball to symmetric areas of the face. Sensations should be symmetric; unilateral decrease or loss of sensation may be caused by a CN V lesion. Assess CN III (oculomotor), IV (trochlear), and VI (abducens) by assessing extraocular movement (EOM) functioning. Ask the patient to follow the movement of your finger through the six cardinal positions of gaze; measure pupillary reaction to light reflex and accommodation using a penlight. The facial nerve is tested by having the patient smile, frown, puff out their cheeks, and raise and lower their eyebrows while you look for asymmetry. The oculomotor nerve is tested by assessing directions of gaze and by testing pupillary reaction to light and accommodation.
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Which type of diagnosis is defined as physiological complications monitored by nurses to assess changes in client status?
a. risk nursing diagnosis c. collaborative problem b. wellness nursing diagnosis d. actual diagnosis
The elderly client refuses to take a newly prescribed medication. In response, the nurse responds:
a. "The doctor said you need to take the medication." b. "I don't want to have to call you daughter to come in to stay with you." c. "Could you tell me you reason for not wanting to take the medication?" d. "I'll come back later and we'll try again."
Interactions between antipsychotic medications and some cardiac drugs containing epinephrine may cause which of the following side effects or adverse effects to occur?
a. decreased absorption of the medication b. severe hypotensive complications c. toxic levels of antipsychotics d. worsening of psychosis
Wellness is described as
a. not having a disease b. freedom from physical and mental disease c. one who is always happy d. those environmental factors surrounding a person