The patient is diagnosed with Bell's palsy. The nurse assesses the patient and notices drooping of the patient's right eye and the right side of his mouth.
When the functions of the following nerves are compared, the most likely cause of these symptoms would be a dysfunction of the:
a. seventh cranial nerve.
b. trigeminal nerve (CN V).
c. oculomotor nerve (CN III).
d. glossopharyngeal nerve (CN IX).
Question 2The patient is an elderly male with severe kyphosis who is immobile from a stroke several years earlier. He has been admitted for severe dehydration. The nurse must turn the patient frequently to prevent complications of immobility.
What does the nurse realize?
a. This patient should be turned onto his back for meals.
b. This patient may have to be turned more frequently than every 2 hours.
c. This patient may be allowed to remain in his favorite position as long as he doesn't complain of discomfort.
d. Skin breakdown is not an issue for this patient.
Question 3The patient has been hospitalized for several days and has received multiple intravenous antibiotic medications. This morning, the patient had three episodes of severe, foul-smelling diarrhea . The nurse should institute:
a. contact precautions.
b. standard precautions only.
c. airborne precautions.
d. droplet precautions.
Question 4The patient was found in an alley on a cold winter night and is admitted with hypothermia from environmental exposure. She is elderly and is having difficulty breathing. Her breath sounds are diminished, and the tip of her nose is cyanotic.
The nurse wants to assess the oxygen level in the patient's blood. She decides to use the pulse oximeter. The best way to apply this to this patient would be with a(n):
a. finger probe.
b. earlobe sensor.
c. forehead sensor.
d. toe sensor.
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