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A nurse is preparing to test the function of cranial nerve X. Which of the following assessment procedures should the nurse use? {Ans: Have the client open his mouth and say, "ahh" The vagus or X nerve has both sensory and motor functions. To test the monitor function, the nurse should have the client open his mouth and say, "ahh." The palate and the uvula should move upward in response. The nurse should also assess the client's voice quality for hoarseness.}A nurse is caring for a client who is dehydrated and is receiving continuous tube feeding through a pump at 75 mL/hr. When the nurse assesses the client at 0800, which of the following findings requires interventions? {Ans: The head of the bed is elevated to 20 degrees. The head of the bed should be elevated to at least 30 degrees (semi-Fowler's position) while the tube feeding is administered. This position gravity to help the feeding move through the digestive system an lessens the possibility of regurgitation.}A nurse is providing teaching to a client who has a chronic cough and is scheduled for a bronchoscopy. Which of the following client statements indicates an understanding of the teaching?