The nurse performs the action shown in this image during the assessment of a client. What is the nurse assessing?
Intercostal spaces
Lymph nodes
Skin Turgor
Carotid Pulse
The Correct Answer is C
A) Intercostal spaces:
Assessing intercostal spaces typically involves palpating or inspecting the area between the ribs to check for abnormalities such as retractions or tenderness, usually conducted with the client sitting or standing.
B) Lymph nodes:
Palpation of lymph nodes, such as in the cervical region, involves using fingertips to gently feel for enlarged or tender nodes. This examination focuses on areas like the neck, underarms, and groin.
C) Skin Turgor:
The image depicts a nurse pinching the skin, likely on the chest or forearm, which is a common method to assess skin turgor. Skin turgor evaluation helps determine hydration status; if the skin remains tented and returns slowly to its original position, it indicates dehydration.
D) Carotid Pulse:
Assessing the carotid pulse involves palpating the carotid artery along the side of the neck to evaluate the strength and rhythm of the pulse. This is typically done using the pads of the fingers, not by pinching the skin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Eye turning inward:
Esotropia is a condition where one or both eyes turn inward, leading to misalignment. This inward turning can cause double vision, depth perception issues, and sometimes amblyopia (lazy eye) if not treated early. This is the primary characteristic that defines esotropia.
B) Eye malalignment:
While eye malalignment is a general term that can describe conditions like esotropia, exotropia, or hypertropia, it does not specify the direction of the misalignment. Esotropia specifically refers to inward turning of the eye, which is a more precise description of the condition.
C) Eye oscillating:
Eye oscillation refers to nystagmus, which is a condition characterized by repetitive, uncontrolled movements of the eyes, often resulting in reduced vision. Nystagmus is not related to esotropia, which involves inward turning rather than oscillation.
D) Eye turning outward:
Eye turning outward is known as exotropia, which is the opposite of esotropia. Exotropia involves the eyes turning away from the nose, whereas esotropia involves the eyes turning towards the nose. These are distinct conditions with different clinical presentations.
Correct Answer is A
Explanation
A) Fish: Fish, especially fatty fish like salmon, mackerel, sardines, and trout, are rich sources of omega-3 fatty acids. Omega-3 fatty acids are essential for heart health, reducing inflammation, and supporting brain function. Including fish in the diet is highly recommended for obtaining these beneficial fats naturally.
B) Leafy green vegetables: While leafy green vegetables provide many essential nutrients, they are not significant sources of omega-3 fatty acids. They are more commonly known for their vitamins, minerals, and fiber content, which are important for overall health but do not provide the omega-3s that fish does.
C) Corn oil: Corn oil is high in omega-6 fatty acids rather than omega-3 fatty acids. While omega-6 fatty acids are also necessary for health, they should be balanced with omega-3s to maintain optimal health. Corn oil does not contribute significantly to omega-3 intake.
D) Dietary supplements: While omega-3 supplements can be a good alternative for those who do not consume enough fish, obtaining nutrients from whole foods is generally preferred for additional health benefits, such as protein and other nutrients found in fish. Supplements should be considered when dietary intake is insufficient.
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