Eyes and Ears
A nurse notes that a clients eyes are continously moving back and forth within the eye sockets. The nurse documents that the client is experience what condition?
Nystagmus
An older adult hispanic male with CAD, has a family history of CAD and DM, has a pmh of HTN, Hx of Smoking. Name the patient's modifiable risk factors for CAD.
The loss of near vision at middle age is called what?
Presbyopia
What is the effect of the BP reading when the cuff is too small?
BP reading is higher
What is the number of minutes when bowel sounds are considered absent?
5 min
The result of a clients vision test using a Snellen chart is 20/50. What does this mean?
The client can read at a distance of 20 feet what a client with normal vision can read at 50 feet.
You are teaching parents of a child with anemia about dietary sources of iron that are easy for the body to absorb. What food items will you include in the teaching plan?
Meat, fish, poultry
Why does "tenting" of the skin occure in older adults?
A natural occurrence during the process of aging due to the loss of subcutaneous fat
What part of the brain is the regulator of body temperature?
Hypothalamus
Which of the following are complications related to being on bedrest? constipation, skin breakdown, blood clots, fevers.
constipation, skin breakdown, and blood clots
The client has undergone surgery for cataracts. T or F: The client will likely experience a sudden decrease in vision after surgery.
FALSE
Which client is at the greatest risk for developing a skin disorder? A: athlete, B: adolescent, C: client who uses an indoor tanning bed, D: an older adult
C: tanning bed
Alterations in smell and taste are normal changes for geriatric adults? T or F
TRUE
What is the most appropriate position to obtain a rectal temperature for an adult?
Sims position
The nurse is testing the function of the client's vestibulocochlear nerve (CN VIII). What tools do you need to perform the test?
tuning fork and audiometer
Describe the technique you would use as a method for assessing a clients pupillary reaction to light.
using a pen light- move the light from the temporal area to the eye while the client looks straight ahead
A client with low back pain asks what type of exercise will best strengthen the lower back muscles. He enjoys canoeing, tennis, jogging, and swimming. What activity is best for this client.
Swimming
In the older adult population, decreased production of natural oils in the skin result in what?
Dry skin
Babies generally have a lower HR and BP than adults? T or F
FALSE
What anatomical location does the nurse palpate to assess the popliteal pulse?
behind the knee
When assessing a client with an inner ear disorder, what question should you ask in order to get more information about this disorder?
Do you have any hearing loss?
When teaching a postmenopausal client about performing a breast self exam, what instructions should you give about WHEN she should perfom the exam?
Perform on the same day every month
In the elderly, the increase in peripheral vascular reistance results in an increase in which vital sign?
Blood pressure
Which condition may produce a sub normal temperature? Viral Infection, Hypothyroidism, rheumatoid arthritis, Sunburn
Hypothyroidism
What are you assessing when you do the following? Firmly stroke the lateral sole of the foot and under the toes with a blunt instrument.
plantar reflex