When preparing a female client for an abdominal examination, the nurse should provide her with which instruction?

"Refrain from eating or drinking for at least thirty minutes."

"Lie in a prone position with slightly flexed knees."

"Exhale slowly through your mouth then hold your breath."

"Empty your bladder just prior to the examination."

Answer and Explanation

The Correct Answer is D

A.   The client should refrain from eating or drinking for other procedures but not specifically for an abdominal examination unless indicated for tests like ultrasounds.
B.   A prone position is not necessary for an abdominal exam; lying on the back is preferred.
C.   The client should not hold their breath during the abdominal exam unless asked to assist with specific maneuvers.
D.   Having the bladder empty before the examination reduces discomfort and allows for better visualization of the abdominal organs.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Asking the client directly about the medications they have taken for their cough provides specific
information about the treatments they’ve used, including over-the-counter or prescription options.
B. Asking if they have been prescribed medications for the cough might miss important details about over-the-counter medications or self-treatment.
C. Asking about generic brands of cough syrup is too specific and may miss other relevant medications the client is using to manage their chronic cough.
D. Asking about current medications is important for general health information, but it does not directly address treatment specific to the cough.

A. Observe the client's pupillary response to a penlight. B. Observe the client's optic disc through an ophthalmoscope. C. Observe the client's eye movements through the cardinal fields of vision. D. Assess the client's ability to read a Snellen chart from a distance of 20 feet.

Correct Answer is D

Explanation

A. Observing pupillary response to a penlight helps assess the neurological function related to the eyes, such as reaction to light, but it does not directly assess the client's overall visual acuity or support the claim of being legally blind.
B. Examining the optic disc can help identify structural changes in the eye, such as damage to the retina or optic nerve, but it doesn't directly assess the client’s claim of being legally blind or the extent of visual impairment.
C. Assessing eye movements can help evaluate for conditions such as strabismus or cranial nerve abnormalities, but it doesn't provide a direct assessment of visual acuity or support the client’s statement of blindness.
D. The Snellen chart is a standard tool for assessing visual acuity and is the most appropriate method to objectively measure whether the client has the visual impairment consistent with being legally blind.

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When preparing a female client for an abdominal examination, the nurse should provide her with which instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which question by the nurse is likely to elicit the most information regarding a client's use of medications to treat a chronic cough?

Correct Answer is A

Explanation

A client states, "I am legally blind." Which assessment technique should the nurse use to obtain subjective data to support the client's statement?

Correct Answer is D

Explanation

Patient Data Exhibits Nurse analyzes the findings. Which can the nurse do to mitigate artifacts when performing auscultation? Select all that apply.

During the precordium assessment, the nurse palpates the apical impulse of a client on the 5th intercostal space left mid-clavicular line. The pulse is more vigorous than expected. Which action should the nurse take in response to this finding?

While conducting a physical assessment, the nurse shines a pen light into a client's right eye and moves the light source to check the client's left eye. Which finding indicates the need for further evaluation?

When conducting a physical examination, the nurse uses a tuning fork to assess for which condition?

When assessing a client's range of motion, the nurse notes crepitation with movement of the left knee. Which information in the client's history is most likely related to this finding?

When assessing an older adult client with a history of cardiovascular disease, dyspnea, and peripheral edema, which method is best for the nurse to use to assess the client's pulse rate?

The nurse observes that a client who is intoxicated has an ataxic gait. Which finding does the nurse expect to be positive upon further assessment of the client?

Patient Data 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.