The nurse is performing a voice test to assess the hearing of a client. The nurse would document which assessment as an abnormal finding? 4. The nurse shouldnext ask the client to take which action? Which of the following would the nurse expect to test? What is the result of this decrease? Other people won’t see your birthday. We have tutors online 24/7 who can help you get unstuck. The. how does the structure of lipids interact in carrying out cellular process, _are essential in the conversion of nitrogen-containing compounds to nitrogen forms that are accessible and usable by plants. Which factors in the client's history are associated with added risk for neurological problems? It can be carried out without using any equipment and thus it can be used for large scale deployment. What does this test evaluate? Which test would the nurse plan on possibly omitting from the exam? The nurse should use which technique to assess the plantar reflex? The nurse is teaching breast self-examination (BSE) to a client who has had a hysterectomy. 2. The functional status of the vestibular apparatus in the inner ear. 38- Caring for Clients with Cerebrovascular Disorders.docx, PrepU Ch. On Saturday, October 10th, we'll be doing some maintenance on Quizlet to keep things running smoothly. This site is using cookies under cookie policy. Ensure comfortable seating at eye level for the client and nurse. Explain how Earth’s atmosphere affects solar radiation. A nurse is testing a client for graphesthesia and asks the client to close his eyes. Which assessment procedure should a nurse institute to test a client for stereognosis? The intactness of the tympanic membrane 3. "Stand with your feet together and your arms at your sides." Which of the following should indicate to a nurse the need to suction a clients tracheostomy? The nurse is performing the Romberg test as part of a client's focused neurological assessment. Pharmaceutical stress is used to increase blood flow to the heart muscle. The client weighs 198 lb. [1] It has been used in clinic for 150 years [2] The Romberg’s test is a chair side tool for clinical diagnosis of sensory ataxia, and gait and balance disorders most commonly caused by abnormal proprioception involving location of the joints. B. A. Romberg’s test is very commonly used by police officers to assess instability and imbalance due to alcohol intoxication and other substance abuse. The nurse finds which areas least helpful in assessing for pallor or cyanosis? Use a leading zero … B. Pull the pinna up and back before inserting the speculum. The nurse conducts the Romberg test on a client by asking the client to stand, 12 out of 12 people found this document helpful, The nurse conducts the Romberg test on a client by asking the client to stand with feet close together, and eyes closed. A nurse is preparing to measure the apical pulse on an assigned client. Set the room temperature at a comfortable level. The community health nurse is instructing a group of young female clients about breast self-examination. What should the nurse do when performing the examination? The nurse assesses a client for the presence of Homans' sign. If a nurse is preparing a client for an exercise stress test that is going to take place the next day, there are requirements for the patient. The numbers in the parentheses (1, 2, 3) are clickable links to peer-reviewed scientific papers. The reason for the occurrence of positive report under both situations is described below: Romberg’s test is a simple diagnostic test which is sensitive in nature and used to pinpoint to sensory ataxia in a patient with balance and postural issues. The nurse is performing a physical examination on an assigned client. The nurse would perform this test for the purpose of determining which status? The nurse observes the client's tongue for, symmetry, tremors, and strength, and assesses the client's speech. Touch the face with a cotton ball 2. 4. The Romberg test is used to assess the motor function of the client including muscle movement, size, tone, strength, and coordination. Ask the client to shrug both shoulders upward against the examiner's hands. The feedback link “Was this Article Helpful” on this page can be used to report content that is not accurate, up-to-date or questionable in any manner. The nurse should implement which type of database when performing an assessment? ", "Effective blood glucose regulation can prevent this problem.". How should the nurse. Which description, 3. During the health history, a client reports a decrease in his ability to smell. The nurse notes documentation that a client is exhibiting Cheyne-Stokes respirations. 4. The nurse should obtain which item needed to perform this test? A nurse is preparing a teaching session for a group of new parents about ear infections and measures to prevent them. Senior nursing students are assisting the nurse with the assessments. Quizlet will be unavailable from 4-5 PM PT. The right eye is tested, followed by the left eye, and then both eyes are tested. During the Romberg test, a client is unable to stand with the feet together and demonstrates a wide-based, staggering, unsteady gait. On auscultation, the nurse hears a grating and creaking type of sound. This, means the client has a problem with equilibrium. Which is the. 2. 3. The nurse should instruct the client that while examining the left breast she should place a pillow under which area? D. Test the client's hearing for lateralization and bone and air conduction. In the Romberg test, the standing patient is asked to close their eyes. The nurse is assessing for the presence of pallor in a dark-skinned client. The physician is correct to maintain aseptic procedure. positive Romberg test, indicating a problem with equilibrium. a. 1. can't be expected to remain still during the CT scan. Over the fifth intercostal space in the left midclavicular line. Which is accurate about this type of assessment? The nurse. 8. The clinic nurse is preparing to perform a Romberg test on a client being seen in the clinic. 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