To assess for increasing intracranial pressure (ICP), the nurse should assess which key cranial nerves (CNs
1) II, III, IV, and VI
2) I, V, VII, and IX
3) V, VII, XI, and XII
4) IX, X, XI, and XII
ANS: 1
You might also like to view...
A 10-year-old child with disabilities is begging her parents for a dog. When at the pediatric clinic, the parents inquire about possible benefits pet ownership may provide to their child
What benefits of pet ownership should the nurse indicate? (Select all that apply.) a. Decrease the need for physical therapy b. Lower blood pressure c. Improve communication d. Foster trust e. Ease path to socialization
The nurse is trying to explain the different forms of elder abuse to a nursing student. Which statement, if made by the nursing student, would indicate the need for further teaching?
1. "Substance abuse and stressful events in the life of the abuser can contribute to the risk of abuse.". 2. "The prototypical victim of elder abuse is a white woman over 80 years old who lives in her own home or the home of a family member.". 3. "The abuser is most often a child of the patient; the next most likely abuser is a spouse, and the third most likely primary caregivers.". 4. "Elder abuse includes any deliberate action, or lack of action, that causes harm to an elderly person.".
A nurse is assessing a patient who is receiving a blood transfusion and finds that the patient is anxiously fidgeting in bed. The patient is afebrile and dyspneic
The nurse auscultates crackles in both lung bases and sees jugular vein distention. On which transfusion complication will the nurse focus interventions? a. Fluid volume overload b. Hemolytic reaction c. Anaphylactic shock d. Septicemia
When counseling a client in ways to prevent cholecystitis, which of the following guidelines is most important?
A. Eat a low-protein diet B. Eat a low-fat, low-cholesterol diet C. Limit exercise to 10 minutes/day D. Keep weight proportionate to height