The nurse is speaking to the client and suspects a weakness in eye muscle after observing the eyes cross.
What test should the nurse administer to further assess this problem?
Cover/Uncover test.
Testing peripheral vision.
Snellen chart test.
Weber test.
The Correct Answer is A
Choice A rationale
The Cover/Uncover test is used to assess the presence of strabismus or eye muscle weakness. During this test, one eye is covered while the other eye is observed for movement. The uncovered eye is then observed when the cover is removed. If there is a misalignment or weakness, the uncovered eye will move to re-establish focus, indicating a problem with eye muscle control.
Choice B rationale
Testing peripheral vision involves assessing the range of vision around the central focus point and is not specifically used to detect eye muscle weakness. It evaluates the function of the retina and optic nerve rather than the eye muscles. This test helps identify issues such as glaucoma or retinal detachment.
Choice C rationale
The Snellen chart test measures visual acuity, specifically how well a person can see at various distances. It is not designed to assess eye muscle strength or alignment. The test involves reading letters of different sizes from a chart placed at a standard distance.
Choice D rationale
The Weber test is an auditory test used to assess hearing loss by placing a vibrating tuning fork on the forehead or middle of the head. It helps determine whether hearing loss is conductive or sensorineural in nature. This test does not provide information about eye muscle function or alignment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Rhonchi are low-pitched, coarse sounds typically heard during expiration, associated with secretions in large airways, not high-pitched continuous sounds.
Choice B rationale
Stridor is a high-pitched sound heard during inspiration, typically indicating upper airway obstruction.
Choice C rationale
Wheezes are continuous high-pitched whistling sounds heard during expiration, common in conditions like chronic obstructive pulmonary disease, where airway narrowing is present.
Choice D rationale
Crackles are discontinuous sounds heard during inspiration, usually associated with fluid in the lungs or alveolar opening, not continuous high-pitched sounds. .
Correct Answer is D
Explanation
Choice A rationale
A decreased angle between the cuticles and the nails is not indicative of clubbing. In fact, it is often associated with healthy nails. Clubbing is recognized by changes that increase the angle between the nail bed and the cuticle.
Choice B rationale
An upward curving of the nails, known as koilonychia or spoon nails, is not characteristic of clubbing but is often associated with iron-deficiency anemia. Hence, this answer is incorrect for clubbing.
Choice C rationale
Blue nails indicate cyanosis, which is related to a lack of oxygen in the blood. This is distinct from clubbing, which is more about the shape and angle of the nails rather than their color.
Choice D rationale
Clubbing is recognized by an increase in the angle between the nail bed and the cuticle, often greater than 160 degrees. This is a hallmark feature and the correct indicator of clubbing.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.