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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A herniated disc can cause pain that radiates down the leg (sciatica) when the leg is raised, along with lateral tilting of the spine as the patient attempts to relieve pressure.
B. A meniscus tear is usually associated with knee pain rather than back or leg pain.
C. Scoliosis refers to a lateral curvature of the spine but does not cause radiating leg pain as described in this case.
D. While muscle spasms can cause back pain, they are not typically associated with radiating leg pain or lateral spinal tilting.
Correct Answer is A
Explanation
A. Changes in size, color, and shape of a mole or spot, especially with the development of a bump, could be indicative of skin cancer, particularly melanoma.
B. That there is nothing to be concerned about. Given the changes in the spot's appearance, this is a concerning sign and requires further investigation, so this choice is not correct.
C. Wounds typically heal without such significant color and shape changes, so this is unlikely to be a normal healing process.
D. A secondary lesion is caused by trauma or infection, but the described changes are more concerning for a potential primary skin malignancy, such as melanoma.
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