During an examination, the nurse notices severe nystagmus in both eyes of a patient. Which conclusion by the nurse is correct? Severe nystagmus in both eyes:

May indicate disease of the cerebellum or brainstem.

is a sign that the patient is nervous about the examination

Indicates a visual problem, and a referral to an ophthalmologist is indicated.

is a normal occurrence

Answer and Explanation

The Correct Answer is A

A.   Severe nystagmus is often associated with neurological disorders, particularly those affecting the cerebellum or brainstem.
B.   is a sign that the patient is nervous about the examination. Nervousness typically doesn’t cause severe, persistent nystagmus.
C.   Indicates a visual problem, and a referral to an ophthalmologist is indicated. While nystagmus affects vision, it is usually neurologically based, requiring a neurological assessment rather than a referral to an ophthalmologist.
D.   Nystagmus is not typically normal, especially when it is severe and persistent. It warrants further investigation.

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Correct Answer is A

Explanation

A. Placing a pillow under the knees helps to relax the abdominal muscles and reduces tension during the abdominal examination.
B. Ensure adequate lighting - While good lighting is necessary for a thorough exam, it doesn't directly enhance muscle relaxation.
C. Expose the chest and abdomen for examination - Exposing the chest and abdomen is necessary for an abdominal exam but does not specifically aid in muscle relaxation.
D. Place the patient on their left side - This position is typically used for certain types of exams or procedures but does not specifically enhance muscle relaxation for an abdominal assessment.

A. Taking medications to prevent osteoporosis. B. Performing of a activity, such as fast walking C. Assessing bone density annually D. Taking vitamin B12 supplements E. Taking vitamin B12 supplements

Correct Answer is B

Explanation

A. While medications may help prevent osteoporosis, lifestyle changes such as weight-bearing exercise are more effective and beneficial in the long term, especially for bone health.
B. Weight-bearing exercises, including walking, help stimulate bone formation and maintain bone density, which is crucial in preventing osteoporosis in perimenopausal women.
C. While monitoring bone density is essential for detecting osteoporosis, the best preventative strategy is improving bone health through weight-bearing activities, adequate calcium intake, and other lifestyle changes.
D. Vitamin B12 plays a role in maintaining nerve function and red blood cell production, but it is not directly involved in preventing osteoporosis.

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During an examination, the nurse notices severe nystagmus in both eyes of a patient. Which conclusion by the nurse is correct? Severe nystagmus in both eyes:

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Naxlex Comprehensive Predictor Exams

To enhance muscle relaxation prior to an abdominal examination the nurse would

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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During an examination, the nurse notices severe nystagmus in both eyes of a patient. Which conclusion by the nurse is correct? Severe nystagmus in both eyes: