The nurse is taking a health history from a client. The client tells the nurse that. "It feels like the room is spinning." How should the nurse document this finding?

Vertigo

Seizure activity

Dizziness

Syncope

Answer and Explanation

The Correct Answer is A

A.   Vertigo is the sensation of spinning or movement when stationary and is often associated with inner ear problems.
B.   Seizure activity involves abnormal electrical activity in the brain and might present with various symptoms but not necessarily the feeling of spinning.
C.   Dizziness is a more general term that can include feelings of light-headedness or unsteadiness without a specific spinning sensation.
D.   Syncope refers to fainting or loss of consciousness due to decreased blood flow to the brain, not the sensation of spinning.

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Correct Answer is D

Explanation

A. Cranial Nerve XI (Accessory nerve) is not involved in tongue movement; it controls muscles involved in head and shoulder movement.
B. Eye movement and control relate more to Cranial Nerves III, IV, and VI, which control eye muscles.
C. Hearing is primarily assessed by Cranial Nerve VIII (Vestibulocochlear nerve).
D. Cranial Nerve XI innervates the sternocleidomastoid and trapezius muscles, enabling movements like head turning and shoulder shrugging against resistance.

A. "It would be very unusual for a man your age to have cancer of the prostate." B. “We will treat you with chemotherapy so we can control the cancer." C. "The swelling in your prostate is only temporary and will go away." D. "The enlargement of your prostate is caused by hormonal changes, and not cancer."

Correct Answer is D

Explanation

A. While prostate cancer risk increases with age, it's not rare for a 60-year-old man to have prostate cancer. This response might provide false reassurance.
B. Chemotherapy is not typically the primary treatment for benign prostatic hypertrophy (BPH) and doesn’t relate to the concerns raised by the client.
C. BPH is a chronic condition characterized by non-cancerous prostate enlargement, not temporary swelling that goes away.
D. BPH is commonly caused by hormonal changes and does not predispose a person to prostate cancer. It's important to differentiate between BPH and prostate cancer.

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The nurse is taking a health history from a client. The client tells the nurse that. "It feels like the room is spinning." How should the nurse document this finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse tests the function of Cranial Nerve XI while performing a physical examination on a client. Which statement best describes the response the nurse should expect if Cranial Nerve XI is intact?

Correct Answer is D

Explanation

A 60-year-old man has been told that he has benign prostatic hypertrophy (BPH). He expresses that his friend just died from prostate cancer and that he is concerned about dying from cancer. Which of the following is an appropriate response by the nurse?

Correct Answer is D

Explanation

The nurse is taking a health history from a client. The client tells the nurse that. "It feels like the room is spinning." How should the nurse document this finding?

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