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s.l.green s.l.green
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6 years ago
When assessing the corneal reflex, the nurse realizes this reflex is a function of which cranial nerve (CN)?
 
  1. CN II
  2. CN III
  3. CN IV
  4. CN V

Question 2

The nurse realizes that a client, diagnosed with chronic dry eyes, may have a disorder of the lacrimal gland because it:
 
  1. covers the eye for protection.
  2. produces tears to lubricate the eye.
  3. helps the eye keep its shape.
  4. provides blood to the eye.

Question 3

A client is being admitted with the diagnosis of asthma. To facilitate breathing, in what position would the nurse place the client?
 
  1. Lateral
  2. Prone
  3. High-Fowler's
  4. Supine

Question 4

A client diagnosed with chronic obstructive pulmonary disease has the complication of cor pulmonale. Which of the following instructions will be included in the client's discharge teaching?
 
  1. Adjust oxygen higher depending on activity level.
  2. Increase sodium in the diet.
  3. Maintain bed rest.
  4. Weigh self daily, and call the physician with a weight gain of 2 pounds
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6 years ago
The answer to question 1  4
The stimulation of the trigeminal nerve (CN V) causes the corneal reflex, a protective blink. Cranial nerves II, III, or IV do not control the corneal reflex.

The answer to question 2  2
The lacrimal gland moistens the eye by producing and distributing tears to lubricate the eye. The lacrimal gland does not cover the eye for protection, help the eye keep its shape, or provide blood to the eye.

The answer to question 3  3
Only the high-Fowler's position facilitates breathing. The other positions could make breathing more difficult.

The answer to question 4  4
A weight gain of greater than 2 pounds would indicate fluid retention and need to be reported to the physician. Oxygen would not be increased past the prescribed level because this may eliminate the client's drive to breathe. Increasing sodium will encourage fluid retention. Moderate activity is desired to maintain a level of cardiovascular health.
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