Multiple Choice
The nurse is assessing a patient who experienced a cerebrovascular accident (CVA) 24 hours ago. The patient does not have a gag reflex. Which conclusions by the nurse are appropriate based on this data? Select all that apply.
A) Damage to cranial nerve IX
B) Damage to cranial nerve X
C) Risk for aspiration
D) Potential malignancy
E) Herpes simplex virus
Correct Answer:

Verified
Correct Answer:
Verified
Q1: Upon assessment, the nurse notes the patient
Q2: Which disease process is associated with tender,
Q3: The nurse is assessing a patient's tongue
Q5: During the assessment of a preschool-age patient,
Q6: The nurse is conducting a health history
Q7: The nurse is providing care to a
Q8: A patient presents to the emergency department
Q9: Which actions by the nurse are appropriate
Q10: To facilitate palpation of the thyroid gland,
Q11: When assessing an adult patient's mouth who