A nurse is caring for a client who has contact dermatitis of the neck and upper chest. Which assessment data is an expected finding?

Report of generalized joint discomfort

Systemic symptoms including elevated temperature

Denial of pruritus

Report of exposure to a skin irritant

Answer and Explanation

The Correct Answer is D

A. Generalized joint discomfort is not commonly associated with contact dermatitis; this condition typically affects the skin locally rather than causing systemic joint symptoms.

B. Systemic symptoms such as elevated temperature are generally not expected with contact dermatitis, as it is usually a localized skin reaction.

C. Pruritus (itching) is a common symptom of contact dermatitis, so denial of pruritus would not be expected.

D. Contact dermatitis often occurs due to exposure to a skin irritant, making a report of such exposure a typical finding in the assessment.

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Correct Answer is A

Explanation

A. Asking the client to identify scented aromas assesses cranial nerve I (olfactory nerve), which is responsible for the sense of smell.
B. Reading a Snellen chart assesses cranial nerve II (optic nerve), which is related to vision.
C. Listening to the client's speech evaluates the function of cranial nerves V (trigeminal) and XII (hypoglossal), which are related to mastication and tongue movement, respectively.
D. Asking the client to clench his teeth tests cranial nerve V, which innervates the muscles of mastication.

A. Bronchovesicular B. Bronchial C. Dullness D. Flatness

Correct Answer is B

Explanation

A. Bronchovesicular sounds are normal lung sounds that are typically heard over the mainstem bronchi and are expected during auscultation.

B. Bronchial sounds are also normal and are typically heard over the trachea; they are expected lung sounds.

C. Dullness is not a lung sound but rather a descriptor of percussion notes, typically indicating fluid or solid mass in the lungs.

D. Flatness is also not a normal lung sound but refers to a percussion note that can suggest the presence of fluid or a solid mass.

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A nurse is caring for a client who has contact dermatitis of the neck and upper chest. Which assessment data is an expected finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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