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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. VII: The Facial nerve (VII) is responsible for taste sensation in the anterior two-thirds of the tongue. An inability to taste in this area indicates a dysfunction in this nerve.
B. XII: The Hypoglossal nerve (XII) controls tongue movements but does not involve taste sensation.
C. V: The Trigeminal nerve (V) provides sensation to the face and mouth but is not responsible for taste.
D. II: The Optic nerve (II) is involved in vision, not taste.
Correct Answer is C
Explanation
A. XII: Cranial nerve XII (hypoglossal) controls tongue movements, but is not typically assessed by the technique described.
B. V: Cranial nerve V (trigeminal) is assessed for facial sensation and mastication, not the technique in question.
C. VII: Cranial nerve VII (facial) is responsible for facial expressions and is assessed by asking the client to perform various facial movements.
D. XI: Cranial nerve XI (accessory) is involved in shoulder and neck movements, not facial expressions.
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