The client had an enlarged lymph node in front of his right ear. Which phrase will the nurse use to document this finding in the medical record? -
... [Show More] ANSWERThe preauricular lymph node
The nurse is conducting a seminar regarding cultural implications for physical assessment. A client of which I ethnicity might prohibit the nurse from examining from the head? - ANSWERCombodian american
Which country has decreased their populations risk of developing thyroid disease by adding iodine salt? - ANSWERUnited States
A client complains of daily headaches, which items will the nurse include in the focused interview for this client to learn more about the clients headaches?
1."Rate your pain on a scale from 0-10, with pain and 10 the worst." 2."daily headaches are not of any concern." 3."is there anything that relieves the pain, like resting or medication?" 4. "Is the pain sharp, dull, steady, or throbbing?" 5."have you have had a recent cold or infection?" - ANSWER1. "Rate your pain on a scale from 0-10, with pain and 10 the worst. 3. "is there anything that relieves the pain, like resting or medication?" 4. "Is the pain sharp, dull, steady, or throbbing?" 5. "have you have had a recent cold or infection?"
The nurse is assessing the clients head and neck. The nurse provides the clients with a glass of water. Which structure is the nurse assessing while observing the client drinking the water? - ANSWERTrachea
The nurse notes that the client is unable to control the amount of light that enters the eye. The dysfunction of which structure is most likely the cause of this problem? - ANSWERIris
The nurse is examining the eye. The client asks about the specific structure within eye that are responding for refractions of light light rays. Which structures are involved? 1. Lens 2. Macula 3. Cornea 4. Iris 5. Optic disc - ANSWER1. Lens 3. Cornea
The nurse is assessing the eyes of an older adult client. Which finding is expected by the nurse based on the clients age? - ANSWERThe pupillary light reflex slows with age
During an eye assessment, a young adult client reports difficulty seeing items at a distance. This assessment data is consistent with which term? - ANSWERMyopia
The nurse is preparing to the use an ophthalmoscope to examine the client. Which is the proper method to use the ophthalmoscope - ANSWERBegin with the lens of the ophthalmoscope set on the 0 diopter
The nurse educates the client about major functions the nose and sinuses. Which structure is specifically responsible for filtering, moistening, and warming air that enters the lower portion of the respiratory tract? - ANSWERTurbinates
Which structure attaches the tongue to the floor of the mouth - ANSWERFrenulum
The nurse is performing an otoscopic examination on an adult client and is unable to visualize the tympanic membrane. Which action by the nurse is appropriate in this situation? - ANSWERPull the pinna up and back, then reinsert the otoscope
The nurse is caring for a client who was admitted to the medical unit. The healthcare provider states that the clients Romberg test is positive. What does this mean for the client? - ANSWERThey are at risk of falling
The nurse is assisting the oral cavity of a client and notes a blackish, furry looking coating on the tongue. Which question should to the client is most appropriate based on this initial data? - ANSWER"Have you recently taken any a [Show Less]