Which client should receive the pictured examination first?

a client with nausea, vomiting, and abdominal pain

a client with chest tightness and heartburn

a client with facial drooping and left-sided weakness

a client with fatigue, fever, and productive cough

Answer and Explanation

The Correct Answer is C

Choice A rationale: A client with nausea, vomiting, and abdominal pain may have gastroenteritis, food poisoning, or appendicitis, which are not directly related to the eyes.

Choice B rationale: A client with chest tightness and heartburn may have gastroesophageal reflux disease (GERD), angina, or myocardial infarction (MI), which are also not associated with the eyes.

Choice C rationale: A client with facial drooping and left-sided weakness may have a stroke, which is a medical emergency that requires immediate attention. An eye examination can help detect signs of stroke, such as pupil asymmetry, visual field defects, or eye movement abnormalities. A stroke can cause permanent brain damage or death if not treated promptly.

Choice D rationale: A client with fatigue, fever, and productive cough may have a respiratory infection, such as pneumonia or tuberculosis, which are unlikely to affect the eyes unless there is a systemic complication.

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Correct Answer is C

Explanation

Choice A rationale: This statement is correct; it's important to include the final voided urine in the collection.

Choice B rationale: Proper storage at a cool temperature helps maintain the integrity of the collected urine.

Choice C rationale: Avoiding protein intake during the collection can significantly alter the results of the creatinine clearance test. Eating a regular diet is important to maintain accurate test results.

Choice D rationale: Discarding the first void and starting the collection afterward is a common practice in 24-hour urine collections to ensure a complete sample.

A. A breast lump that increases in size before the menstrual period. B. Bilateral breast nodules that are tender with palpation. C. A breast lump that is small and mobile, with a rubbery consistency. D. A breast nodule that is 1 cm in size, nontender, and fixed.

Correct Answer is D

Explanation

Choice A rationale: A breast lump that increases in size before the menstrual period might be related to hormonal changes and is not necessarily indicative of a concerning issue.

Choice B rationale: Bilateral breast nodules that are tender with palpation might be related to benign conditions or hormonal changes.

Choice C rationale: A small, mobile, rubbery breast lump could suggest a benign condition like a fibroadenoma, which might not be as concerning.

Choice D rationale: A breast nodule that is 1 cm in size, nontender, and fixed could potentially raise concerns about malignancy and requires further evaluation.

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Which client should receive the pictured examination first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient received teaching about the correct procedure in a 24-hour urine collection for creatinine clearance test. Which statement by the client indicates a need for further teaching?

Correct Answer is C

Explanation

Which assessment finding in a 36-yr-old patient is most indicative of a need for further evaluation?

Correct Answer is D

Explanation

The nurse is most likely to report which finding to the primary care provider for a client who has an established colostomy?

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