answers
While assessing a patient's neurological status, the nurse asks the patient to close his eyes. She
then puts a teaspoon of peanut butter under his nose and asks him to identify the smell. The nurse
is assessing which of the following senses? - CORRECT ANSWERS-Olfactory
Mr. Fields is a resident of a long-term care facility who has moderate hearing loss. When communicating
with Mr. Fields, what should the nurse do? - CORRECT ANSWERS-Minimize background noises and
ensure that lighting is adequate to see the nurse's face
The oncology nurse is caring for a client receiving chemotherapy. Which of the following statements
would be a priority assessment for the nurse? - CORRECT ANSWERS-Have you been experiencing any
strange tastes or aftertastes lately?
The community health nurse wants to identify clients who have lifestyle factors that may place them at
risk for sensory disturbances. Which of the following questions should she ask? - CORRECT ANSWERS-Do
you work around loud noises at work?
You are working on a neurological unit and a physician asks you to perform a sensory experience
assessment for a patient. You think about what things may place a person at risk for disturbed sensory
perception and come up with which of the following? Choose all that apply. - CORRECT ANSWERS-
Diminished senses related to advanced age
Medications that alter certain senses
Neuropathy related to diabetes mellitus
A nurse in the emergency room is assessing a client for sensory perception dysfunction. Which of the
following assessment techniques will the nurse use to gather objective data? Select all that apply. -
CORRECT ANSWERS-Observation
Diagnostic tests and procedures
Physical assessment
, The nurse assesses that the client has sensory impairment from longterm furosemide (Lasix) use. Which
of the following actions will the nurse implement? - CORRECT ANSWERS-When communicating with the
client, use a lower tone of voice
Which of the following patients is experiencing a disturbance in sensory perception as the primary
problem rather than the etiology of another problem? - CORRECT ANSWERS-A patient who is
experiencing acute confusion as a result of a drug interaction
For which conditions would the nurse assess to determine if a patient is suffering from sensory
deprivation or overload? (Select all that apply.) - CORRECT ANSWERS-Thought disorganization
Boredom
Anxiety
To assess a client's visual accommodation, the nurse has the client - CORRECT ANSWERS-Look at a close
object, then at a distant object
You are preparing to assess a patient's cranial nerves. Which of the following techniques should you use
to assess cranial nerve III? - CORRECT ANSWERS-Shine a bright light in the patient's eye and observe for
bilateral pupillary response
A nurse is assessing the cranial nerves of a client who is recovering from Bell's palsy. Which of the
following cranial nerves are important for the coordination of facial movement and reflex activity?
Select all that apply. - CORRECT ANSWERS-VII
IX
V
The physician tells the nurse that the elderly client has presbycusis. Which of the following interventions
will the nurse place in the client's care plan? - CORRECT ANSWERS-Decrease background noises, as much
as possible, before speaking