A middle-aged school teacher complains of excessive tearing of the eyes every morning. Which assessment should the nurse perform next?

Assess the nasolacrimal sac

Inspect the palpebral conjunctiva

Test pupillary reaction to light

Perform the eye positions test

Answer and Explanation

The Correct Answer is A

Choice A Reason:
The nasolacrimal sac is part of the tear drainage system. When a patient presents with excessive tearing, known as epiphora, it is important to assess for any obstruction in the lacrimal apparatus. The nasolacrimal sac can become blocked due to various reasons such as infection, inflammation, or structural abnormalities. Assessing this area can help determine if there is a blockage causing the tears to accumulate and overflow.

Choice B Reason:
Inspecting the palpebral conjunctiva is typically done if there is a complaint of eye pain or a sensation of a foreign body in the eye. While it is part of a comprehensive eye examination, it is not the first assessment to be performed for excessive tearing unless there are additional symptoms that suggest a problem with the conjunctiva.

Choice C Reason:
Testing the pupillary reaction to light is an assessment of the pupillary response and the function of the oculomotor nerve. This test is crucial when neurological issues are suspected or if there is a change in vision. However, it is not the primary assessment for excessive tearing without other associated symptoms.

Choice D Reason:
The eye positions test, which assesses eye muscle strength and cranial nerve function, is not necessary unless there are signs of problems with muscle strength, such as drooping. This test would not typically be the next step in assessing a patient with excessive tearing unless there are other indications of muscle or nerve impairment.

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Correct Answer is A

Explanation

Choice a reason:
A BMI of 27 falls into the 'Overweight' category according to the standard BMI classification. The 'Overweight' range is defined as a BMI of 25 to 29.9. This indicates that the person's weight is higher than what is considered healthy for a given height.

Choice b reason:
'Obesity Class I' is characterized by a BMI of 30 to 34.9. Since the client's BMI is 27, it does not reach the threshold for this category.

Choice c reason:
The 'Normal weight' category ranges from a BMI of 18.5 to 24.9. With a BMI of 27, the client exceeds the upper limit of the normal weight range.

Choice d reason:
The term 'Obesity' generally refers to a BMI of 30 or higher, which encompasses Obesity Class I, II, and III. Since the client's BMI is 27, it is below the obesity range.

A. After discussing reactions to allergens. B. After asking about cigarette smoking. C. After reviewing current medications. D. After asking about previous surgeries.

Correct Answer is B

Explanation

Choice A reason:
Discussing reactions to allergens typically focuses on environmental or food triggers that may cause allergic reactions. While it's important to understand a client's allergies, this topic is not closely related to alcohol use, which has different implications for health and lifestyle choices.
Choice B reason:
Asking about alcohol use naturally follows the discussion about cigarette smoking because both involve substance use and have potential health risks. It allows the nurse to transition smoothly from one lifestyle factor to another, which can impact the client's overall health. This approach also helps in creating a comprehensive picture of the client's habits that may contribute to or affect their current health status.
Choice C reason:
Reviewing current medications is an essential part of the health history, as it can reveal potential interactions with alcohol. However, it might be more appropriate to ask about alcohol use after discussing other lifestyle habits such as smoking, as they are more directly related. Once the client's substance use habits are established, the nurse can then discuss how these might interact with prescribed medications.
Choice D reason:
Asking about previous surgeries is important for understanding a client's medical history, but it is not directly related to the client's current lifestyle habits like alcohol use. Therefore, it would be more natural to ask about alcohol use in the context of other substance use discussions rather than after surgical history.

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A middle-aged school teacher complains of excessive tearing of the eyes every morning. Which assessment should the nurse perform next?

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Naxlex Comprehensive Predictor Exams

Using the client's height of 72 inches and weight of 200 lbs, the nurse calculates the BMI. A BMI of 27 indicates which category for this patient?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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