When performing a physical assessment of a client's maxillary the nurse should.
Press above and below the cheek bones.
Apply pressure anteriorly to the tragus.
Ask if the client has a history of headaches.
Ask if the client has a history of sinus infections.
The Correct Answer is A
A. To assess the maxillary sinuses, the nurse should apply gentle pressure to the area above and below the cheekbones, as this is where the maxillary sinuses are located.
B. The tragus is part of the ear and not relevant to the assessment of the maxillary sinuses. Pressure in this area would not be helpful for evaluating sinus health.
C. While a history of headaches may be relevant to sinus issues, it is not a direct physical assessment of the maxillary sinuses.
D. Ask if the client has a history of sinus infections. While a history of sinus infections is useful, it does not replace the physical assessment of the maxillary sinuses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Flexion involves decreasing the angle between two body parts, such as bending the knee or elbow, not moving the leg laterally.
B. Abduction is the movement of a body part away from the midline of the body. In this case, moving the leg laterally fits this description.
C. Adduction refers to movement toward the body's midline, the opposite of abduction.
D. Extension involves straightening a body part, such as straightening the knee, which does not match the description of moving the leg laterally and medially.
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.
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