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While inspecting the external eye of a client, the nurse notes that the client's right eyelid droops. Which term would the nurse use to document this finding?

Ectropion

Presbyopia

Ptosis

Entropion

Answer and Explanation

The Correct Answer is C

A. Ectropion: This condition involves the eyelid turning outward, not drooping.

B. Presbyopia: This is age-related loss of near vision, not related to eyelid position.

C. Ptosis: Ptosis refers to drooping of the upper eyelid, which is the correct term for the described finding.

D. Entropion: This condition involves the eyelid turning inward, not drooping.

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Correct Answer is C

Explanation

A. Subjective: Subjective data refers to information reported by the patient directly, which is not applicable in this case since the client cannot communicate.

B. Tertiary: This term is not commonly used in the context of data sources in health assessments.

C. Secondary: Secondary data is information provided by someone other than the patient, such as a family member or caregiver, which is applicable here since the daughter is providing the information.

D. Primary: Primary data is directly obtained from the patient, not from a secondary source like the daughter.

A. Tactile fremitus B. Chest expansion C. Breath sounds D. Tissue consolidation

Correct Answer is B

Explanation

A. Tactile fremitus: This involves palpating vibrations on the chest wall as the patient speaks, not assessing chest expansion.

B. Chest expansion: This technique assesses the symmetrical movement of the chest during inhalation and exhalation, which is the correct assessment for this context.

C. Breath sounds: Breath sounds are assessed through auscultation rather than palpation.

D. Tissue consolidation: This involves detecting areas of increased density in lung tissue, often assessed through percussion or auscultation, not through the technique shown for chest expansion.

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While inspecting the external eye of a client, the nurse notes that the client's right eyelid droops. Which term would the nurse use to document this finding?

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Naxlex Comprehensive Predictor Exams

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