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. 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.
Correct Answer is A
Explanation
A. This emphasizes recognizing abnormal findings, such as an enlarged testicle or a painless lump, which may indicate testicular cancer.
B. Testicles are smooth, firm, and egg-shaped but should not have a lumpy consistency.
C. Monthly, not weekly, self-examinations are recommended for early detection.
D. The best time to examine is during or after a warm shower when the scrotum is relaxed, not before.
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