head neck and neuro

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19 Terms

1

What is a key finding in a client with a subconjunctival hemorrhage?

A defined reddened area of the sclera.

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2

What does a beefy red tongue indicate in a client?

It can indicate a vitamin B12 insufficiency.

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3

What is a characteristic sign of candidiasis in the mouth?

White patches on the tongue.

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4

What is the first step a nurse should take when assessing a client's conjunctiva?

Apply examination gloves.

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5

What does clear, watery drainage from the ear indicate?

It may indicate a skull fracture.

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6

What is a expected finding for a client with allergies during a nasal assessment?

Pale mucosa.

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7

Which layer of the eye is transparent and covers the iris and pupil?

The cornea.

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8

What finding may indicate a thyroid disorder?

A lump on the anterior portion of the neck.

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9

What is an unexpected finding when assessing a client's head?

A lesion on the client's scalp.

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10

What does tinnitus refer to?

A high-pitched ringing in the ears.

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11

What should a nurse document if a client has difficulty reading fine print?

This should be documented in the review of systems.

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12

What assessment should the nurse perform in a suspected stroke patient?

Assess orientation, muscle strength, for facial droop, and swallowing reflex.

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13

What is a sign of liver disease as identified by a nurse?

Yellow sclera.

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14

In the context of cataracts, what vision problem might a client experience?

Trouble driving at night.

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15

What term describes an eye condition where one or both eyes are misaligned?

Strabismus.

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16

What sinus is likely involved when a patient has headache, facial pain, and tenderness under the eyes?

Maxillary sinus.

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17

What does a vision assessment of 20/40 indicate?

You see at 20 feet what a person with normal vision sees at 40 feet.

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18

What change is expected in the nasal passage of a client with an upper respiratory infection?

Pale green nasal drainage.

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19

What is the indicator of gingivitis in a patient?

Red, swollen, bleeding gums.

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