A patient has an exaggerated lumbar curve to the lower spine. This would be documented as: Selected Answer: Lordosis You note from the patient's history that she has had pain with internal rotation of her right shoulder. This will most likely affect which of the following activities? Fastening her bra behind her back Brushing the back of her short hair Reaching an item off the top shelf of her closet, over her head. Mopping the floor True or False: When assessing for a patient's response to painful stimuli, the nurse should always begin with the least noxious stimulus first, before proceeding to more painful means.. True False A woman brings her 69-year-old husband to the clinic for an evaluation because he has become increasingly forgetful. Which of the following would lead the nurse to suspect that the client has Alzheimer's disease? Select the one answer that does not indicate that he may have Alzheimer’s disease. “He took a fall when he was replacing a light bulb last month.” “He repeats the same story, word for word, over and over again.” “He got lost walking to the pharmacy around the corner the other day.” “If I don't tell him when to shower, he won't and will fight me on it.” The nurse is participating in a vision-screening program for children age 3 to 10 years. The nurse would expect a child to have 20/20 vision at what age? 6 - 7 years of age. 4 - 5 years of age. 2 - 3 years of age. 1 - 2 years of age. After inspecting an adolescent male's genitalia, the nurse documents the findings as Tanner stage 1. Which of the following findings would be most likely? Scrotum is dark, penis increased in size, pubic hair curly and dark. Scrotum and testes slightly enlarged; sparse, long, downy pubic hair Genitalia are prepubertal and there is no pubic hair. Adult configuration of penis, abundant, dark, curly, pubic hair. A female in Tanner stage 5 would have which sexual characteristics? Prepubertal breast with elevation of nipple only; no pubic hair. Breast bud stage; pubic hair is sparse, long and straight. Adult configuration of breast, with projection of the nipple; pubic hair in pattern of inverse triangle. Projection of areola and nipple; pubic hair coarse, curly, but sparse over pubis. A nurse is assessing a client's strength muscular strength. The client has full strength in his arms. How would the nurse document this? "Strength in arms bilaterally is " 5 10 3 10 0 In which order would it be most appropriate to perform a complete neurologic exam? Mental status, cranial nerves, motor/cerebellar, sensory, reflexes Reflexes, sensory, motor/cerebellar, cranial nerves, mental status Cranial nerves, motor/cerebellar, sensory, reflexes, mental status Motor/cerebellar, sensory, reflexes, cranial nerves,

 

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