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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 A

Explanation

A. Tuning fork: A tuning fork is used in auditory assessments, such as hearing tests, to evaluate hearing loss and bone conduction.

B. Stethoscope: While a stethoscope is essential for auscultation of heart and lung sounds, it is not used for examining the ears.

C. Ophthalmoscope: An ophthalmoscope is used for examining the eyes, not the ears.

D. Tongue depressor: A tongue depressor is used for examining the mouth and throat, not the ears.

A. Identify ways to ensure client privacy. B. Turn on relaxing music of the client's choice. C. Wash hands D. Obtain and check needed equipment. E. Dim the lighting to promote comfort.

Correct Answer is ["A","C","D","E"]

Explanation

A. Identify ways to ensure client privacy: Ensuring privacy is essential for a respectful and confidential examination.

B. Turn on relaxing music of the client's choice: While this might improve the client's comfort, it is not a standard or necessary step before conducting a physical examination.

C. Wash hands: Hand hygiene is crucial before any physical examination to prevent infection.

D. Obtain and check needed equipment: Having and checking equipment ensures that all necessary tools are available and in working order for the examination.

E. Dim the lighting to promote comfort: Proper lighting can help in conducting a thorough examination and make the client feel more comfortable.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is ["A","C","D","E"]

Explanation

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