L), [normal range: 22-26]

Which condition would the nurse analyze these results to indicate?

Metabolic alkalosis

Metabolic acidosis

Respiratory alkalosis

Respiratory acidosis

Answer and Explanation

The Correct Answer is C

A. Metabolic alkalosis is characterized by a high pH and a high HCO3- level; this does not match the provided values.

B. Metabolic acidosis would show a low pH and a low HCO3-, which does not match the findings.

C. The pH is high (7.45) while the Paco2 is low (30 mm Hg), indicating respiratory alkalosis. The low HCO3- could be a compensatory mechanism but does not change the primary interpretation of respiratory alkalosis.

D. Respiratory acidosis would be indicated by a low pH and a high Paco2, which is not the case here.

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A. III, IV, VIII B. III, II, VI C. IX, X, XII D. I, I, III

Correct Answer is C

Explanation

A. Cranial nerves III, IV, and VIII are not involved in mouth functions; they primarily deal with eye movements and hearing.

B. Cranial nerves III, II, and VI are involved in vision and eye movement but not in mouth functions.

C. Cranial nerves IX (glossopharyngeal), X (vagus), and XII (hypoglossal) are all tested through functions such as swallowing, speech, and movement of the tongue, which occur in the mouth.

D. Option D incorrectly lists cranial nerve I twice; cranial nerve I (olfactory) is related to the sense of smell, not the mouth.

A. Response to verbal stimuli B. Affect, feelings, or emotions C. Eye movements D. Insight, judgment, and planning

Correct Answer is C

Explanation

A. Response to verbal stimuli does not directly assess the function of cranial nerves III, IV, and VI.

B. Affect, feelings, or emotions are related to the assessment of other neurological functions and do not evaluate the ocular cranial nerves specifically.

C. Eye movements are the primary function of cranial nerves III (oculomotor), IV (trochlear), and VI (abducens), which control eye movement and provide essential information about their function.

D. Insight, judgment, and planning relate more to cognitive function and do not directly assess the function of the cranial nerves in question.

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Correct Answer is C

Explanation

Correct Answer is C

Explanation

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When completing a neurological assessment, which cranial nerves are tested within the mouth?

Correct Answer is C

Explanation

The nurse is performing a neurological assessment on a client and is assessing the function of cranial nerves III, IV, and VI. Assessment of which aspect of function will yield the best information about these cranial nerves?

Correct Answer is C

Explanation

Which shape should the nurse expect a client's chest to be when assessing a client who has COPD?

The nurse in the clinic is preparing to perform a physical assessment on a client who arrived for a routine check-up. Before beginning the assessment, which four activities should the nurse carry out? (Select all that apply.)

The nurse is teaching a group of unlicensed assistive personnel about the stethoscope. Which statements about the stethoscope are appropriate for the nurse to include in the teaching session? (Select all that apply.)

A nurse is assessing a client's cranial nerves as part of a neurological examination. Which action should the nurse take to assess cranial nerve III?

A nurse is preparing a program on osteoporosis for a local women's group. Which of the findings does the nurse recognize as a modifiable risk factor?

A nurse is assessing a client's cranial nerves. Which method should the nurse use to assess cranial nerve I?

How should the nurse identify the rhythm shown in the diagram?

A client has dysfunction of the cochlear division of the vestibulocochlear nerve (cranial nerve VIII). The nurse should determine that the client is adequately adapting to this problem if he or she states a plan to obtain which item?

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