While assessing the client's gait during, which of the following would indicate a need for further evaluation?

Feet stay parallel when moving forward.

Heels strike the ground before the toes.

Reses each foot off the floor with each step.

Right arm and leg move forward together

Answer and Explanation

The Correct Answer is D

A.   This is a normal finding in gait, as the feet should typically remain parallel while walking.
B.   Heels strike the ground before the toes. This is a normal gait pattern, especially in elderly individuals, where a heel-to-toe walk is common.
C.   Reses each foot off the floor with each step. This is a normal finding, as the person should lift their foot off the ground while walking.
D.   Right arm and leg move forward together. This is an abnormal finding, indicating a possible neurological issue such as hemiparesis or other gait disturbance, which warrants further evaluation.

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Correct Answer is ["C","D"]

Explanation

A. As the patient says a long "ee-ee-ee" sound, the examiner hears a long "aaaaaa" sound. - This indicates a possible consolidation in the lungs, which is abnormal.
B. When the patient speaks in a normal voice, the examiner can hear a sound but cannot exactly distinguish what is being said. - This suggests abnormal voice transmission and could indicate lung consolidation or other issues.
C. As the patient says a long "ee-ee-ee" sound, the examiner also hears a long "ee-ee-ee" sound. - This is normal, indicating clear and symmetrical transmission of voice sounds.
D. As the patient repeatedly says "ninety-nine," the examiner clearly hears the words "ninety-nine." - This is also normal, as it indicates normal transmission of sound and no lung consolidation.
E. Voice sounds are faint, muffled, and almost inaudible when the patient whispers "one, two, three" in a very soft voice. - This is normal for whispered voice sounds and is not a sign of abnormal lung findings.

A. Cranial Nerve VIll (Vestibulocochlear) B. Cranial Nerve X (Magus) C. Cranial Nerve VI (Abducens) D. Cranial Nerve IV (Trochlear)

Correct Answer is A

Explanation

A. The whispered voice test is used to assess the function of Cranial Nerve VIII, which is responsible for hearing and balance. The nurse's whisper tests the auditory function of this nerve.
B. The vagus nerve is involved in swallowing, voice production, and parasympathetic functions but is not assessed by whispering.
C. This nerve controls lateral eye movement, and a whispered voice test does not assess eye movement.
D. This nerve also controls eye movement, specifically the superior oblique muscle, and is not evaluated by the whispered voice test.

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While assessing the client's gait during, which of the following would indicate a need for further evaluation?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["C","D"]

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Correct Answer is A

Explanation

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