head neck and neuro

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19 Terms

1
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What is a key finding in a client with a subconjunctival hemorrhage?

A defined reddened area of the sclera.

2
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What does a beefy red tongue indicate in a client?

It can indicate a vitamin B12 insufficiency.

3
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What is a characteristic sign of candidiasis in the mouth?

White patches on the tongue.

4
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What is the first step a nurse should take when assessing a client's conjunctiva?

Apply examination gloves.

5
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What does clear, watery drainage from the ear indicate?

It may indicate a skull fracture.

6
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What is a expected finding for a client with allergies during a nasal assessment?

Pale mucosa.

7
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Which layer of the eye is transparent and covers the iris and pupil?

The cornea.

8
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What finding may indicate a thyroid disorder?

A lump on the anterior portion of the neck.

9
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What is an unexpected finding when assessing a client's head?

A lesion on the client's scalp.

10
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What does tinnitus refer to?

A high-pitched ringing in the ears.

11
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What should a nurse document if a client has difficulty reading fine print?

This should be documented in the review of systems.

12
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What assessment should the nurse perform in a suspected stroke patient?

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

13
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What is a sign of liver disease as identified by a nurse?

Yellow sclera.

14
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In the context of cataracts, what vision problem might a client experience?

Trouble driving at night.

15
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What term describes an eye condition where one or both eyes are misaligned?

Strabismus.

16
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What sinus is likely involved when a patient has headache, facial pain, and tenderness under the eyes?

Maxillary sinus.

17
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What does a vision assessment of 20/40 indicate?

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

18
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What change is expected in the nasal passage of a client with an upper respiratory infection?

Pale green nasal drainage.

19
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What is the indicator of gingivitis in a patient?

Red, swollen, bleeding gums.