When performing the corneal light reflex assessment, the nurse notes that the light is reflected at 2 o'clock in each eye. The nurse should:

When assessing the pupillary light reflex or PERRL (pupils, round, reactive to light), the nurse should use which technique?

A nurse is precepting a new graduate nurse on the telemetry unit. The new graduate nurse is preparing to perform an abdominal assessment on a hospitalized client without a history of gastrointestinal abnormalities. Click to indicate the corresponding number for each of the following assessment techniques in order of performance.

When performing the corneal light reflex assessment, the nurse notes that the light is reflected at 2 o'clock in each eye. The nurse should:

A patient is reporting sharp pain along the costovertebral angles. What does this symptom most often indicate?

The nurse is performing an eye assessment on an 80-year-old patient. Which of these findings is considered abnormal?

During an assessment of a 20-year-old Asian patient, the nurse notices that he has dry, flaky cerumen in his canal. What is the significance of this finding? This finding:

A patient had abdominal surgery yesterday when auscultating his abdomen, you would expect to hear:

The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate?

A nurse is preparing to perform an abdominal assessment on a client. Identify the sequence of steps the nurse should take to conduct the assessment.

1) Auscultate the abdomen for bowel sounds.

2) Inspect the abdomen for skin integrity.

3) Ask if the client has abdominal pain.

4) Palpate the abdomen lightly for tenderness.

5) Percuss the abdomen in each of the four quadrants.

During an abdominal assessment, the nurse tests for a fluid wave. What condition would produce a positive fluid wave test?