The nurse is examining an older female client and suspects that she has a dysfunction in her hip region. Which procedure should the nurse perform to further assess for hip dysfunction?

Abduct each hip while the client is supine.

Flex the hip and knee while standing.

Observe balance while the client stands.

Inspect gluteal folds for symmetry.

Answer and Explanation

The Correct Answer is B

A) Abduct each hip while the client is supine:
While assessing hip abduction can provide information about hip joint mobility, it may not be the most appropriate initial assessment for hip dysfunction. This action primarily evaluates the range of motion but may not specifically target dysfunction in the hip region.

B) Flex the hip and knee while standing:
Flexing the hip and knee while the client is standing can help assess hip function, particularly in weight-bearing positions. This action can reveal limitations in hip mobility and detect dysfunction such as pain or weakness during movement.

C) Observe balance while the client stands:
Observing balance while the client stands is important for assessing overall lower extremity function, including the hips. However, it may not specifically target dysfunction in the hip region and may provide more general information about mobility and stability.

D) Inspect gluteal folds for symmetry:
Inspecting gluteal folds for symmetry can help identify asymmetry or abnormalities in the hip region, but it may not provide direct information about hip dysfunction. This action is more focused on assessing external appearance rather than functional movement or mobility.

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Correct Answer is D

Explanation

A) Face is flushed and diaphoretic:
While flushing and diaphoresis can indicate fever, anxiety, or other conditions, they do not typically require immediate intervention unless associated with other severe symptoms.

B) Eyelids are matted and crusted:
Matted and crusted eyelids may indicate an eye infection, such as conjunctivitis, which requires treatment but not immediate emergency intervention.

C) Cornea are jaundiced:
Jaundiced corneas (scleral icterus) suggest elevated bilirubin levels and possible liver dysfunction. This finding requires prompt evaluation but is not typically an emergency requiring immediate intervention.

D) Oral mucosa is cyanotic:
Cyanosis of the oral mucosa indicates a lack of oxygen in the blood and is a sign of hypoxemia or respiratory distress. This is a critical finding that requires immediate intervention to address potential life-threatening respiratory or cardiovascular issues.

A. Diabetes mellitus. B. Recent candida infection. C. Iron deficiency anemia. D. Coronary heart disease.

Correct Answer is C

Explanation

A) Diabetes mellitus: While diabetes can lead to various complications affecting the nails, such as yellowing or thickening due to poor circulation and infections, it is not typically associated with brittle, concave (spoon-shaped) nails.

B) Recent candida infection: Candida infections can affect the nails, causing them to become discolored, thickened, or separated from the nail bed, but they do not typically cause the nails to become brittle and concave.

C) Iron deficiency anemia: This condition is often associated with brittle, spoon-shaped (concave) nails, known as koilonychia. Iron deficiency anemia affects the oxygen-carrying capacity of the blood, which can lead to changes in the nail beds, making them appear concave and brittle.

D) Coronary heart disease: While coronary heart disease can lead to changes in the nails due to poor circulation, it is not commonly associated with the specific finding of brittle, concave nails. Other nail changes might include clubbing or cyanosis, but not typically koilonychia.

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The nurse is examining an older female client and suspects that she has a dysfunction in her hip region. Which procedure should the nurse perform to further assess for hip dysfunction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While observing a client's face, which assessment finding requires immediate intervention by the nurse?

Correct Answer is D

Explanation

The nurse observes the presence of brittle, concave curves to the nails of a client on assessment. Which information should the nurse obtain from the client that may explain the appearance of the nails?

Correct Answer is C

Explanation

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