Prep U quiz #2

When considering eye safety, what instructions should the nurse provide to a client newly prescribed contact lenses (Select all that apply)

"Do not share lenses" "Keep the lenses clean" "Wash hands before inserting or removing the lenses" "Discard unused portions of contact solutions at the expiration date"

During a physical examination of the head and neck, a client reports frequently feeling cold. What additional questions should the nurse ask for more information about the client's symptoms

"Do you dress more warmly than other people" "Do you use more blankets than others at home" "Do you perspire less than others"

Which question asked by the nurse is assessing problems with vertigo?

"Do you ever have problems with balance?"

While the nurse is obtaining a client's health history regarding the head and neck, the client tells the nurse about having a lump in the neck. The order to assess for associated manifestations of this problem, which of the following questions should the nurse ask next.

"Do you have difficult swallowing

A nurse is palpating the head and neck of a newly referred client. Which of the following would the nurse suspect if assessment reveals that the client's skull and facial bones are larger and thicker than normal

Acromegaly

A client asks a nurse to look at a raised lesion on the skin that has been present for about 5 years. Which is an "ABCD" characteristic of malignant melanoma

Asymmetrical shape

A client performs the test for distant visual acuity and scores 20/50. How should the nurse most accurately interpret this finding?

At 20 feet from the chart, the client sees what a person with good vision can see at 50 feet

The nurse is performing the assessment shown. What is the nurse assessing in this client

Buccal mucosa

The nurse is palpating a client's neck as part of a physical assessment. Which of the following blood vessels should the nurse be especially careful to avoid bilaterally compressing during the assessment

Carotid artery

A nurse asks the client to describe the pain associated with a headache by rating the pain on a scale from 1 to 10. The subjective data should be documented in which section of the assessment

Characteristic symptoms

A nurse is instructing a client on how to assess himself for herpes simplex lesions by their configuration. Which configuration should the nurse tell the client to look for

Clustered

The thin mucous membrane that lines the inner eyelid and covers the sclera is known as what?

Conjunctiva

A nurse is examining a client's nose. Which characteristics of the nasal mucosa should the nurse expect to find if the client is healthy?

Dark pink, moist, and free of discharge

Which action by the nurse indicates the appropriate use of an ophthalmoscope?

Employ the right eye to examine the client's right eye

During the physical examination of a client's eyes, the nurse asks the client to follow the tracing of a giant H with the eyes. What function is the nurse assessing in this client?

Extraocular movements

A nurse receives report from the shift nurse that a client has new onset of peripheral cyanosis. Where should the nurse focus the assessment of the skin to detect the presence of this condition

Fingers and toes

The nurse is preparing to examine the ears of an adult client with an otoscope. The nurse should plan to

Firmly pull the auricle out, up, and back

The nurse assesses a client's submental lymph nodes. In which area of the client's head should the nurse palpate these lymph node

In the midline, a few centimeters behind the tip of the mandible

A client presents with purulent, bloody drainage of the ear. Which of the following would the nurse assess first?

Inspect the external ear canal

A nurse assesses the distant vision acuity for a client using the Snellen chart. Which action should the nurse implement to preform the test with accuracy

Instruct the client to read without reading glasses

A nurse inspects a client's skin and notices several flat, brown color change areas on the forearms. What is the proper term for documentation for this finding by the nurse

Macule

A female client visits the clinic and tells the nurse that she frequently experiences severe recurring headaches that sometimes last forseveral days and are accompanies by nausea and vomiting. The nurse determines that the type of headache the client is describing is a

Migraine headache

The nurse asks the client to perform the action pictured. What is the nurse assessing

Near vision

The nurse is preparing to examine a client's internal ear. Which equipment would be necessary

Otoscope

Which technique should the nurse use to properly assess a client's skin turgor

Pinch the skin over the clavicle and observe its return to the original shape

A client reports occasionally experiencing hoarseness. In response to this statement, the nurse asks, "What makes the hoarseness go away?" Which characteristic of the client's symptom is the nurse assessing?

Relieving factors

The nurse is preparing to assess the lymph nodes of an adult client. The nurse should instruct the client to

Sit in a n upright position

Which of the following would the nurse document as an abnormal finding with lymph node assessment

Tender

A client who works in a manufacturing plant is attending a teaching session on plant safety. Which of the following would be an important risk prevention measure to teach regarding hearing?

Wearing ear guards whenever inside the plant

The nurse is preparing to assess the neck of an adult client. To inspect movement of the client's thyroid gland, the nurse should ask the client to

swallow a small sip of water