91影视

Which cranial nerve is the nurse assessing when the client鈥檚 gag reflex is checked? A. Five (trigeminal) B. Six (abducens) C. Nine (glossopharyngeal) D. Twelve (hypoglossal)

After a difficult delivery, a newborn develops a large cephalohematoma. The nurse will monitor this infant for: A. infection B. brain damage C. hyperbilirubinemia D. congestive heart failure

When assessing the scrotum of a 64-year-old client, what would be a normal difference as compared to the scrotum of a 24-year-old client? The scrotum of the 64-year-old would be A. longer B. more pendulous C. less flexible D. more firm

Which of the following is a common postoperative cause of airway obstruction? A. Difficult intubation B. Facial edema C. PO2 greater than 60 mmHg D. Tongue blocking the airway

A client having surgery for glaucoma asks the nurse how the doctor will know if the surgery is successful. Which would be an appropriate response for the nurse to make? A. IOP will decrease. B. Ability to read small print will improve. C Pupil will remain permanently dilated. D. Peripheral vision will increase.

Six hours after birth, an infant is found to have an axil- lary temperature of 97F. The child is placed in an overbed warmer. When the nurse tells the mother that the infant will not be able to leave the nursery at the next feeding, the mother asks why this low tempera- ture is a concern. The nurse explains that low body temperature in the newborn can cause which effects? (Select all that apply.)

Which is a priority nursing intervention for a client with narcissistic personality disorder? A. Encourage acceptance of intensive therapy. B. Eliminate bizarre fantasies. C. Minimize potential for self harm. D. Promote verbalization of feelings about self.

Which direction would the nurse give to a client when assessing function of cranial nerve twelve (hypoglossal)? A. 鈥淗olding your head straight, move only your eyes to look first to the right and then to the left.鈥� B. 鈥淐lench your jaw as tightly shut as you can.鈥� C. 鈥淪tick out your tongue.鈥� D. 鈥淩aise your eyebrows.鈥�

The nurse would assess a client鈥檚 short-term memory by asking the client: A. his/her birth date B. to count backwards from 100 to 7 C. to repeat the phrase 鈥渘o ifs ands or buts鈥� D. about current events

The nurse considers which of the following aspects when performing a client鈥檚 activity and exercise assess- ment. Select all that apply: A. ___ body alignment and posture B. ___ routine exercised patterns C. ___ the body鈥檚 response to activity and exercise D. ___ impact of activity and exercise on overall health