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While performing an abdominal assessment on a patient, the nurse notes an abdomen shape similar to the rounded abdomen only greater. This contour is anticipated in pregnancy and seen in adults with ascites and obesity. What term should the nurse use to document this finding?

Rounded

Scaphoid

Flat

Protuberant

Answer and Explanation

The Correct Answer is D

A. Rounded describes a normal abdomen but does not convey the greater extent of fullness seen in this case.

B. Scaphoid describes a concave abdomen, which does not apply to this situation.

C. Flat indicates no significant contour changes, which does not apply here.

D. Protuberant is the correct term, as it describes an abdomen that is significantly distended and is characteristic of conditions like pregnancy, ascites, or obesity.

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Correct Answer is A

Explanation

A. Presbyopia is a common age-related condition that affects the ability to see close objects clearly, which aligns with the client's difficulty in reading, sewing, and seeing faces up close.

B. While some vision changes are expected with aging, the specific difficulties the client is experiencing suggest a more definitive condition rather than "normal" vision changes.

C. While cataracts can cause vision issues, the specific symptoms described (trouble reading and seeing objects up close) are more characteristic of presbyopia.

D. Glaucoma typically involves peripheral vision loss rather than difficulty with near vision, so this option is not supported by the findings.

A. Checking pupillary response to light B. Observe for facial symmetry C. Testing for sense of smell D. Elicit gag reflex

Correct Answer is D

Explanation

A. Checking pupillary response to light assesses cranial nerve II (optic nerve).

B. Observing for facial symmetry primarily assesses cranial nerves VII (facial nerve) and possibly V (trigeminal nerve).

C. Testing for sense of smell assesses cranial nerve I (olfactory nerve).

D. Eliciting the gag reflex assesses cranial nerve IX (glossopharyngeal nerve) and also cranial nerve X (vagus nerve), making it the correct action to assess cranial nerve IX.

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While performing an abdominal assessment on a patient, the nurse notes an abdomen shape similar to the rounded abdomen only greater. This contour is anticipated in pregnancy and seen in adults with ascites and obesity. What term should the nurse use to document this finding?

Nursing Test Bank

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A nurse is caring for a client in an assisted living facility who has vision problems. Exhibits Complete the sentence by using the list of options The findings noted by the health care practitioner suggest that

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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While performing an abdominal assessment on a patient, the nurse notes an abdomen shape similar to the rounded abdomen only greater. This contour is anticipated in pregnancy and seen in adults with ascites and obesity. What term should the nurse use to document this finding?

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