The nurse gave a client an instruction sheet for a colonoscopy. The client held the instructions approximately 18 inches from their face and read the description of the procedure aloud. The nurse recognizes that the client
Would do well on a Rosenbaum card
is likely demonstrating signs of a stroke
Requires testing for visual acuity
Understands the colonoscopy procedure
The Correct Answer is A
A. Rosenbaum card: Holding reading material at approximately 18 inches from the face suggests that the client has near vision sufficient to perform well on a Rosenbaum test, which evaluates near visual acuity.
B. Stroke: Difficulty reading instructions is not necessarily indicative of a stroke.
C. Visual acuity: While they may not need immediate testing, their near vision appears adequate.
D. Understands procedure: While reading aloud may indicate comprehension, the focus here is on their visual ability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. 1 minute: This is not the correct duration for assessing bowel sounds.
B. 2 minutes each quadrant: Bowel sounds should be auscultated for at least 2 minutes per quadrant before determining that they are absent.
C. 5 minutes: Listening for 5 minutes is excessive and typically unnecessary unless there is concern about a complete absence of bowel sounds.
D. 10 minutes: 10 minutes is also too long for auscultation unless specifically indicated by clinical findings, like suspected paralytic ileus.
Correct Answer is B
Explanation
A. Six: The abdomen is typically not divided into six sections.
B. Four: Most healthcare providers divide the abdomen into four quadrants: right upper, left upper, right lower, and left lower.
C. Eight: Eight sections are not commonly used for abdominal assessment.
D. Nine: Nine sections are used in more detailed assessments but are less common than the four-quadrant approach.
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