A 70-year-old male complains of ringing in the ears. The nurse describes this as:

Tinnitus

Xerostomia

Myopia

Anosmia

Answer and Explanation

The Correct Answer is A

The nurse would describe this as tinnitus, which is a sensation of hearing sound when no external sound is present. Tinnitus is commonly described as ringing in the ears, but can also be perceived as buzzing, humming, hissing, or other sounds. Tinnitus can be caused by a variety of factors, including age-related hearing loss, exposure to loud noises, ear infections, certain medications, and underlying medical conditions such as high blood pressure, thyroid disorders, or head and neck injuries. It is important for the patient to see a healthcare provider to determine the underlying cause and appropriate treatment.

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Correct Answer is B

Explanation

Hypoxia is a medical condition characterized by a lack of oxygen in the body's tissues, which can occur due to a variety of reasons, such as respiratory failure, cardiac arrest, or other serious medical conditions. Cyanosis occurs when the oxygen saturation level in the blood falls below 85%, which causes a bluish color to appear on the skin, especially on the lips and fingertips. Therefore, if a nurse observes cyanosis in a patient's lips, it is a significant sign of hypoxia, and the patient requires immediate medical attention.

A. This is moving his arms toward the midline of his body. B. This is moving his arms in a circular motion. C. This is extending his arms behind his back. D. This is moving his arms away from his body.

Correct Answer is B

Explanation

Circumduction is a movement that involves the circular rotation of a limb, such as an arm or leg, around a fixed point. When assessing the patient's range of motion, the nurse may ask the patient to perform circumduction of their arms to evaluate their ability to move their arms in a circular motion.

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A 70-year-old male complains of ringing in the ears. The nurse describes this as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the patient's lips and notes a bluish tinge. This finding would indicate that the patient may be experiencing which problem?

Correct Answer is B

Explanation

The nurse is assessing the patient's range of motion. The nurse asks the patient to circumduct his arms. When the patient asks what this means, the nurse explains:

Correct Answer is B

Explanation

The nurse should utilize what type of precaution when palpating the lips in a healthy adult?

The nurse would use which of the following skills first when examining the cardiovascular system of a patient?

Which of the following would be considered an abnormal finding and require prompt follow up when auscultating breath sounds?

Some of the factors that negatively aﬀect nutrition in the older adult include which of the following? (Select all that apply)

A 58-year-old patient is going home today. The nurse does her final assessment of the patient. Which of the following would be considered a normal finding?

The nurse noted which of the following about the patient’s skin during her monitoring assessment. (Select all that apply)

The nurse is performing a focused interview and eye assessment on a client. Which assessment findings indicate the client is experiencing a vision problem? (Select all that apply)

When assessing the abdomen, the nurse would expect to auscultate which sounds?