To assess a female client for hirsutism, which action should the nurse take?

Observe the hair shafts on the client's scalp.

Apply and release light pressure to the skin.

Lightly palpate over the client's entire scalp.

Assess the appearance of the client's face.

Answer and Explanation

The Correct Answer is D

Rationale:
A. Observe the hair shafts on the client's scalp: Observing scalp hair provides information about hair texture, thickness, or loss but does not help assess hirsutism. Hirsutism refers specifically to excessive hair growth in areas where women typically have minimal hair, not the scalp.

B. Apply and release light pressure to the skin: Applying pressure to the skin is used to assess for skin turgor, edema, or blanching but is unrelated to evaluating abnormal hair growth patterns like hirsutism.

C. Lightly palpate over the client's entire scalp: Scalp palpation assesses for tenderness, lesions, or scalp integrity. It does not evaluate for the presence of androgenic hair patterns on the face or body that characterize hirsutism.

D. Assess the appearance of the client's face: Hirsutism most commonly appears as coarse, dark hair on the upper lip, chin, cheeks, and sometimes the chest or back in women. Visual assessment of the client's face is critical for identifying the presence and severity of this condition.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

Rationale:
A. Acute pain, change in visual acuity, and foreign body sensation: These symptoms are concerning and require immediate ophthalmologic evaluation. Subconjunctival hemorrhages are usually benign and painless, so the presence of pain, vision changes, and foreign body sensation suggests a more serious underlying ocular injury or pathology.

B. Frequent burning, irritation and tearing of the eyes: These symptoms are commonly associated with dry eye syndrome or minor irritations. While uncomfortable, they do not typically indicate an urgent need for specialist referral unless severe or persistent.

C. Bilateral itchy, red eyes with watery discharge: This presentation is most consistent with allergic conjunctivitis. Although it may warrant treatment, it is not typically emergent and does not usually require urgent evaluation by an ophthalmologist.

D. Diminished ability to focus on close work and excessive illumination required: These are classic signs of presbyopia, an age-related decline in near vision. Presbyopia is a gradual process and not an emergency that requires immediate referral for urgent evaluation.

A. Review past history for any episodes of a cerebral cortex lesion. B. Continue the assessment of the next pairs of cranial nerves. C. Assess the spinal reflexes for demyelination symptoms. D. Implement neurological (neuro) vital signs every 2 hours to detect Cushing's triad.

Correct Answer is B

Explanation

Rationale:
A. Review past history for any episodes of a cerebral cortex lesion: While a history of cerebral cortex lesions may explain some neurologic deficits, the findings described are consistent with normal age-related changes. Immediately jumping to investigate for cortical damage is unnecessary without stronger evidence of acute or severe dysfunction.

B. Continue the assessment of the next pairs of cranial nerves: Mild reductions in upward gaze, corneal reflex, gag reflex, and high-frequency hearing are common and expected in older adults due to aging of the neurological and sensory systems. The nurse should proceed systematically with the full cranial nerve examination to complete the assessment.

C. Assess the spinal reflexes for demyelination symptoms: Demyelination disorders like multiple sclerosis are rare in older adults without specific symptoms suggesting motor or sensory loss beyond what has been described. The findings here do not immediately suggest demyelination, so spinal reflex testing is not the next priority.

D. Implement neurological (neuro) vital signs every 2 hours to detect Cushing's triad: Cushing's triad indicates serious increased intracranial pressure and includes hypertension, bradycardia, and irregular respirations. The client's described findings do not suggest acute neurological deterioration requiring intensive neurovital monitoring.

View Question and Answer

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

To assess a female client for hirsutism, which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client sustained a subconjunctival hemorrhage. The presence of which set of symptoms indicate that the client needs to be seen for further evaluation by an ophthalmologist?

Correct Answer is A

Explanation

The nurse is performing a cranial nerve exam on an older adult client. The nurse notes that the client has a reduced upward gaze, a decreased corneal reflex, a high frequency hearing loss, and a reduced gag reflex. Which action should the nurse take next?

Correct Answer is B

Explanation

During an assessment for jugular vein distension of a client with right sided heart failure (HF), the nurse observes distension bilaterally using tangential lighting with the client in a semi-Fowler's position. Which action should the nurse take next?

An older adult client with a recent history of a cerebrovascular accident (CVA) presents with right hemiparesis. The nurse tests the deep tendon reflexes on the right side and elicits a brisk 4+ response. Which interpretation of this finding is accurate?

Which is the best approach for the nurse to use when interviewing a client about alcohol and substance use?

An older adult client is admitted to the medical unit because of a loss of appetite and generalized malaise. To analyze the client's general nutritional status, which laboratory value is most important for the nurse to review?

An older adult client reports noticing an increased difficulty hearing over the past year. The client explains that words often sound garbled and the end of sentences are often missed. Which follow up question is best for the nurse to ask?

Exhibits The nurse is admitting the client to the stroke unit and preparing to complete a focused neurological assessment. Which assessment(s) should the nurse conduct? Select all that apply.

To assess a female client for hirsutism, which action should the nurse take?

The nurse is assessing a client with type 2 diabetes mellitus and observes an abnormal response when using a monofilament. Which finding should the nurse document that is consistent with an abnormal finding?