Which of the following would be considered an expected finding when assessing accommodation in an adult client?

Constriction of pupils and convergence of eyes bilaterally

Dilation of pupils and convergence of eyes bilaterally

Nystagmus when object is moved close to the client's nose

No change in pupil size and parallel alignment of both eyes

Answer and Explanation

The Correct Answer is A

A.   This is the expected response when assessing accommodation. The pupils should constrict (become smaller) and the eyes should converge (move inward) as a person focuses on a near object.
B.   This response is not typical for accommodation. Convergence should occur with pupil constriction when focusing on a near object.
C.   Nystagmus (a rhythmic jerking of the eyes) is not a normal finding during accommodation testing. It could indicate neurological or vestibular issues.
D.   This is not a typical accommodation response. The pupils should constrict, and the eyes should converge when focusing on a near object.

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Correct Answer is C

Explanation

A. This term refers to the inability to recognize stimuli presented to both sides of the body simultaneously, often seen in cases of neurologic damage.
B. This refers to the ability to differentiate between various sensations, but it is not the specific term for identifying objects by touch.
C. This is the correct term for the ability to recognize objects through touch alone. The nurse would describe the client's ability to identify the key as stereognosis.
D. This refers to the ability to recognize letters or numbers written on the skin, typically with a fingertip, not the identification of a physical object.

A. "A good time to examine your testicles is just before you take a shower" B. "The testicle is egg shaped and movable. It feels firm and has a lumpy consistency." C. "If you notice an enlarged testicle or a painless lump, call your health care provider D. “Perform a testicular examination at least once a week to detect the early stages of testicular cancer."

Correct Answer is A

Explanation

A. This is the most appropriate time to perform a testicular self-examination because the scrotum is relaxed and easier to examine after warm water exposure.
B. The testicle is egg-shaped and movable, but it should not feel lumpy. Lumps or abnormal findings should be reported to a healthcare provider.
C. While this advice is helpful, it does not answer the question of when or how to perform the
examination.
D. A monthly exam is generally recommended, not weekly, to detect early signs of testicular cancer.

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Which of the following would be considered an expected finding when assessing accommodation in an adult client?

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