HA MIDTERMS Flashcards
1.A client in the ED tells the nurse that she is having difficulty breathing at rest. What term would the nurse use in documenting this finding?
Dyspnea
2.A client from a severe motor vehicle accident arrives in the emergency department. The nurse observes irregular respirations of varying depth and rate followed by periods of apnea. Which of the following would the nurse suspect?
Severe brain damage
3.Which action by a nurse demonstrates the proper sequence for auscultation of the lung fields?
Listen at each site for at least one complete respiratory cycle
4.62-year-old construction worker presents to the clinic reporting almost a chronic cough and occasional shortness of breath that have lasted for almost 1 year. Although symptoms have occasionally worsened with a cold, they have stayed about the same. The cough has occasional mucus drainage but never any blood. He denies any chest pain. He has had no weight gain, weight loss, fever, or night sweats. His past medical history is significant for high blood pressure and arthritis. He has smoked two packs a day for the past 45 years. He drinks occasionally but denies any illegal drug use. He is married with two children. He denies any foreign travel. His father died of a heart attack and his mother died of Alzheimer’s disease. Examination reveals a man looking slightly older than his stated age. His blood pressure is 130/80 and his pulse is 88. He is breathing comfortably with respirations of 12. His head, eyes, ears, nose, and throat examinations are unremarkable. His cardiac examination is normal. On examination of his chest, the diameter seems enlarged. Breath sounds are decreased throughout all lobes. Rhonchi are heard over all lung fields. There is no area of dullness and no increased or decreased fremitus. What thorax or lung disorder is most likely causing his symptoms?
Chronic obstructive pulmonary disease (COPD)
5.When auscultating the lungs, the nurse listens over symmetrical lung fields for which of the following?
One deep inspiration and expiration through an open mouth
6.When percussing the posterior lung fields, which of the following findings is expected?
Resonance over all lung fields
7.The client has been admitted through the emergency department with chronic bronchitis, has elevated CO2 levels, and has been placed on O2. What priority assessment would the nurse include?
Evaluate changes in respiratory pattern and rate
triage nurse is working in the emergency department of a busy hospital. Four patients have recently been admitted. Patient A has an arrhythmia diagnosed as atrial fibrillation; Patient B is in chronic congestive heart failure; Patient C is assessed and found to have a probable pulmonary embolism; Patient D complains of chest pain relieved by nitroglycerin and rest. Which patient would be the nurse’s highest priority
Patient C
9.Which terms are used to identify the lobes of the right lung? Select all that apply
upper lobe, middle lobe, lower lobe
10.The nurse is assessing a client’s breath sounds. Where should the nurse expect to hear bronchovesicular sounds?
between the scapula on the posterior chest.
11.A young toddler is brought to the emergency room by his parents. The mother states that the child was playing on the floor with toys and suddenly began to wheeze. The mother reports no recent illnesses. The nurse suspects that the most likely cause of the wheezing is
Foreign body obstruction
12.nurse performs a respiratory assessment on a client and notes the respiratory rate to be 8 breaths per minute. The nurse knows the proper term for this rate is what?
Bradypnea
13.An adult client visits the clinic and tells the nurse that he has been “spitting up rust-colored sputum.” The nurse should refer the client to the physician for possible
Tuberculosis
14.The nurse is preparing to auscultate the posterior thorax of an adult female client. The nurse should
Ask the client to breathe deeply through her mouth
15.Which observation confirms to the nurse that the client is experiencing a normal inspiration?
The thoracic cavity enlarges
16.Which action by a nurse demonstrates proper technique for assessment of chest expansion?
Place both hands on the posterior chest at T9, press thumbs together, and then ask client to take a deep breath
A 47-year-old receptionist comes to the office with fever, shortness of breath, and a productive cough with golden sputum. She says she had a cold last week and her symptoms have only worsened despite using over-the-counter cold remedies. She denies any weight gain, weight loss, or cardiac or gastrointestinal symptoms. Her past medical history includes type 2 diabetes for 5 years and high cholesterol level. She takes an oral medication for both diseases. She has had no surgeries. She denies tobacco, alcohol, or drug use. Her mother has diabetes and high blood pressure. Her father passed away from colon cancer. Examination reveals a middle-aged woman appearing her stated age. She looks ill and her temperature is elevated at 101 degrees Farenheit. Her blood pressure and pulse 17.are unremarkable. Her head, eyes, ears, nose, and throat examination are unremarkable except for edema of the nasal turbinates. On auscultation she has decreased air movement and coarse crackles are heard over the left lower lobe. There is dullness on percussion, increased fremitus during palpation, and egophony and whispered pectoriloquy on auscultation. What disorder of the thorax or lung best describes her symptoms?
Pneumonia
18.Upon inspection of a client’s chest, a nurse observes an increase in the ratio of anteroposterior to transverse diameter. The nurse recognizes this as a finding in which disease process?
chronic obstructive pulmonary disease
19.The lining of the trachea and bronchi, which serves to remove dust, foreign bodies, and bacteria, is termed the
Cilia
20.The nurse notes that a client has the thoracic structure shown. How should the nurse document this finding?
crooked upper spine: Thoracic kyphoscoliosis
21.A client has sustained a brainstem injury. Which of the following would the nurse need to keep in mind about this client’s respiratory effort?
there is loss of involuntary respiratory control
A client reports to the nurse that he experiences fatigue during the day, has difficulty sleeping lying down, and often wakes up at night feeling short of breath. The nurse should assess this client for other findings related to what disease process?
heart failure
23.Which of the following muscles is primarily responsible for thoracic cavity enlargement?
Diaphragm
24.Auscultation of a 23-year-old client’s lungs reveals an audible wheeze. What pathological phenomenon underlies wheezing?
narrowing or partial obstruction of airway passage
The spinous process termed the vertebra prominens is in which cervical vertebra?
Seventh
26.The thoracic cavity contains which of the following organs? Select all that apply.
Heart, lungs, most of the esophagus
27.Adventitious sounds are heard when auscultating a client’s lungs. Which of the following would the nurse do first?
have the client cough and then listen again
A client presents to the health care clinic and reports a recent onset of a persistent cough. The client denies any shortness of breath, change in activity level, or other findings of an acute upper respiratory tract illness. What question by the nurse is most appropriate to further assess the cause for the cough?
are you taking medication on a regular basis
29.The nurse is preparing to percuss a patient’s anterior chest area. Which approach will the nurse use for this assessment?
begin above the right clavicle and percuss each section comparing the right chest with the left chest.
30.patient comes to the clinic complaining of waking during the night with sudden shortness of breath. She is diagnosed with paroxysmal nocturnal dyspnea. Before leaving the clinic, the patient asks the nurse what causes paroxysmal nocturnal dyspnea. What would be the nurse’s best response?
fluid overload from elevation of the legs Patients who awaken at night with sudden shortness of breath have paroxysal nocturnal dyspnea. The cause is fluid overload resulting from elevation of the legs, which shifts the fluid present there to the body’s core. The excess fluid cannot be pumped through the heart and suddenly accumulates in the lungs, causing dyspnea.
31.Which lung sound possesses the following characteristics? Expiration is longer than inspiration; the sound is louder and higher in pitch with a short silence between inspiration and expiration.
Bronchial
32.Which of the following statements relating to assessment of the lungs and thorax is most accurate?
Bronchitis is characterized by excess mucus production and chronic cough.
33.A nurse auscultates a client’s lungs and hears fine crackles. What is an appropriate action by the nurse?
instruct the client to cough forcefully
34.A nurse is receiving report from the night shift about four clients. Which client would the nurse see first?
A 64-year-old man with COPD who is short of breath and has a respiratory rate of 32 breaths/min
35.A high-pitched crowing sound from the upper airway results from tracheal or laryngeal spasm and is called what?
Stridor
36.When percussing the scapula of a client, which of the following would the nurse expect to hear?
Flatness
37.A nurse performs a respiratory assessment on a client and notes the respiratory rate to be 10 breaths per minute. The nurse knows the proper term for this rate is what?
bradypnea
38.The staff educator from the hospital’s respiratory unit is providing a public educational event. The educator is talking about health promotion activities for people with respiratory diseases or those who are at high risk for respiratory complications. What would the educator include in the presentation?
teaching strategies to reduce complications of existing diagnoses
39.the apex of each lung is located at the
Anteriorly, the lower border of the lung crosses the 6th rib at the midclavicular line.
40.Which description of exterior landmarks indicates normal positioning of the lungs?
the inner third of the clavicle.
41.What would the nurse expect to hear when auscultating the lungs of a client with pleuritis?
friction rub
42.Upon inspection of a client’s chest, a nurse observes an increase in the anterior posterior diameter. The nurse recognizes this as a finding in which disease process?
chronic obstructive pulmonary disease rub
43.While assessing the thoracic area of an adult client, the nurse plans to auscultate for voice sounds. To assess bronchophony, the nurse should ask the client to
repeat the phrase “ninety-nine”
44.The nurse is reviewing the client’s health history and notes he has pectus excavatum. The nurse would assess the client for what?
Funnel chest
45.A grandmother brings her 13-year-old grandson for evaluation. She noticed last week when he took off his shirt that his breastbone seemed collapsed. He seems embarrassed and says that it has been that way for awhile. He states he has no symptoms from it and that he just tries not to take off his shirt in front of anyone. He denies any shortness of breath, chest pain, or lightheadedness on exertion. His past medical history is unremarkable. He is in sixth grade and just moved in with his grandmother after his father was transferred for a work contract. His mother died several years ago in a car accident. He states that he does not smoke and has never touched alcohol. Examination shows a teenage boy appearing his stated age. Visual examination of his chest reveals that the lower portion of the sternum is depressed. Auscultation of the lungs and heart is unremarkable. What disorder of the thorax best describes these findings?
Funnel chest (pectus excavatum)
46.During the lung assessment for a client with pneumonia, the nurse auscultates low-pitched, bubbling, moist sounds that persist from early inspiration to early expiration. How should the nurse document these sounds?
coarse crackles
47.Which ribs are considered “floating ribs”?
11th and 12th
48.Which of the following would be best for a nurse to use when assessing for fremitus in a client?
palmar base (ulnar surface)
49.When assessing whispered pectoriloquy, the nurse would instruct a client to do which of the following?
softly repeat the words “1,2,3”
50.High-pitched, short, popping sounds
Crackles (fine)
51.Forward protrusion of the sternum
wheeze (sibilant)
52.High-pitched musical sound
wheeze (sibilant)
An increase in carbon dioxide in the blood
Hypercapnea.
54.Low-pitched, bubbling, moist sounds
Crackles (coarse)
55.Low-pitched snoring or moaning sounds
Wheeze (sonorous)
56.Difficulty breathing when lying supine
Orthopnea
57.Markedly sunken sternum and adjacent cartilage
Pectus excavatum
58.Low-pitched, dry, granting sounds
Pleural Friction Rub
59.the clavicles extend from the acromion of the scapula to the part of the the sternum is termed
Manubrium
60.The apex of each lung is located at the
slightly above clavicle
61.The thin double-layered serous membrane that lines the chest cavity is termed
parietal pleura.
The nurse assesses an adult client’s thoracic area and observes a markedly sunken sternum and adjacent cartilages. The nurse should document the client’s
pectus excavatum.
63.The nurse has assessed the respiratory pattern of an adult client. The nurse determines that the client is exhibiting Kussmaul respirations with hyperventilation. The nurse should contact the client’s physician because this type of respiratory pattern usually indicates
diabetic ketoacidosis
64.The client has been admitted through the emergency department with chronic bronchitis, has elevated CO2 levels, and has been placed on O2 . What priority assessment would the nurse include?
Evaluate changes in respiratory pattern and rate
65.Crepitus
A “crackling” sensation
66.Forward protrusion of the sternum
Pectus carinatum
67.While assessing an adult client, the client tells the nurse that she “has had difficulty catching her breath since yesterday.” The nurse should assess the client further for signs and symptoms of
Infection
68.The nurse is planning a presentation to a group of high school students on the topic of lung cancer. Which of the following should the nurse plan to include in the presentation?
Studies have indicated that there is a genetic component in the development of lung cancer
69.The nurse is planning to percuss the chest of an adult male client for diaphragmatic excursion. The nurse should begin the assessment by
asking the client to exhale forcefully and hold his breath
70.The nurse assesses an adult client and observes that the client’s breathing pattern is very labored and noisy, with occasional coughing. The nurse should refer the client to a physician for possible
chronic bronchitis.
71.The nurse assesses an adult client’s breath sounds and hears sonorous wheezes, primarily during the client’s expiration. The nurse should refer the client to a physician for possible
bronchitis.
1.at puberty, the female breasts enlarge in response to
Estrogen and Progesterone
2.elevated sebaceous glands, known as montgomery glands are found darkly pigmented are surrounding the nipple of the mammary gland
Montgomery glands
3.fibrous tissue that supports the glandular tissue of the breasts fibrous glands extending vertically from the breast surface to attach on the chest wall muscles
Areola
4.the size and shape of the breasts in females are related to
cooper ligaments
5.the functional part of the breast that allows milk production consists of tissue termed
Fatty tissue
6.groups of lymph nodes located under the arm
glandular
7.specialized gland of the skin of females, which secretes milk for nourishment of the young
Axillary lymph nodes
8.surgical removal of the breast tissue
mammary gland
9.ducts conveying milk secreted by the lobes of the breast to and through the nipples
mastectomy
10.reservoirs of storing milk, located behind the nipple
lactiferous duct
11.cone-shaped breast tissue that projects up into the axillae
lactiferous sinus
12.pigmented projection at the tip of each breast, which allows passage of milk from the breast
tail of spence
13.erythematous scaling lesion of the breast, involving the nipple and areola unilaterally, and associated with an underlying malignancy
Nipple
14.lymphatic obstruction, causing edema, which thickens the skin, exaggerates the hair follicles, and gives the breast an orange peel or pigskin look due
Paget disease
15.to blocked lymphatic drainage
Peau d’orange
16.inflammation of the breast
Mastitis
17.roentgenography of the breast to detect any underlying mass
mammography
18.enlargement of one or both male breasts, seen more frequently in adolescent boys and elderly men
Gynecosmastia
19.responsible for drainage from arms
Lateral lymph nodes
20.the most breast tumor occur in which part of the breast
upper outer quadrant of the breast
21.lumpy and sore before menstruation but gets better at the end of the menstrual cycle
fibrocystic breasts
22.due to tumor in breast
dimpling
23.The nurse has discussed the risks for breast cancer with a group of high school seniors. The nurse determines that one of the students needs a further instructions when the student says that one risk factor is
having a baby before the age of 20 years
24.During breast assessment, the nurse should consider the client’s culture because
African American women may not engage in
25.The nurse is working with a community group to set up teaching programs to increase awareness among African American women about preventive screening techniques for breast cancer. in the teaching program, the nurse should plan to include
breast cancer patients of the same race
26.The nurse is caring for an adult female client when the client tells the nurse that she has had a clear discharge from her nipples for the past month. The nurse should ask the client if she has been taking
contraceptives
27.The nurse is assessing an adult male client when the nurse observes gynecomastia in the client. The nurse should ask the client if he is taking any medications for
liver disorder
28.The nurse is caring for a female client who has received a diagnosis of fibrocystic breast disease. The nurse has instructed the client about the disease. The nurse determines that the client needs further instructions when the client says she should avoid drinking
Grapefruit juice
29.The nurse plans to instruct an adult female client with regular menstrual cycles, who is not taking oral contraceptives, about breast self-examination. The nurse should plan to instruct the client to perform breast self-examination
right after menstruation
30.The nurse observes an orange peel appearance, or peau d’ orange, of the areolae of a client’s breasts. The nurse should explain to the client that this is most likely due to
blocked lymphatic drainage
31.The nurse is assessing a 50-year-old client’s breasts and observes a spontaneous discharge of fluid from the left nipple. The nurse should
refer the client for a cytology examination
32.The nurse observes dimpling in an adult female client’s breasts. The nurse should explain to the client that dimpling of the breast may indicate a
tumor
33.The nurse is preparing to examine the breasts of a female client who had a left radical mastectomy 3 years ago. When examining the client, the nurse observes redness at the scar area. The nurse should explain to the client that this may be indicative of
an infectious process
34.A client has had a recent mastectomy and visits the clinic for postoperative evaluation. The client tells the nurse that she has been depressed and feels as if she is less of a woman. The most appropriate nursing diagnosis for this client is
disturbed body image related to mastectomy
35.The lymph nodes that are responsible for drainage from the arms are the
lateral lymph nodes
1.The roof of the oral cavity of the mouth is formed by the anterior hard palate and the
soft palate
2.An extension of the soft palate of the mouth, which hangs in the posterior midline of the oropharnyx is the
uvula
The tongue is attached to the hyoid bone and styloid process of the temporal bone and is connected to the floor of the mouth by the
frenulum
The submandibular glands open under the tongue through openings called
Wharton ducts
5.The rich blood supply of the nose serves to
warm the inspired air
6.To press up with thumbs on sinuses is
method used to palpate maxillary sinuses
Transillumination is
method used to test for fluid in the sinuses
Palpation and percussion is used to
method used to test for sinus tenderness
9.Grade three tonsils ___.
touch the uvula
10.The side of the tongue ____.
most common site of tongue cancer
Cheilosis is _
cracking at the corner of lip seen in riboflavin deficiency
12.A significance of a red glow with transillumination is ____
Sinus filled with air
. A method for assessing the internal nose is
Inspection using the otoscope
Palpation and percussion is used for
used to test for sinus tenderness
15.Openings found on buccal mucosa across from second upper molars is called
Stenson ducts
16.Openings found on either side of the frenulum of the floor of the mouth is called
Wharton ducts
Normal variations that occur in the crease between the upper and lower lip is called
lip pits
During transillumination an absence of a red glow would indicate
sinus filled with fluid or pus
After a nurse examines the frontal sinuses she should then proceed to examine the
maxillary sinuses
A client complains of ulcers in the mouth, the nurse observes a painful ulcer, this should be documented as
aphthous stomaitis
A nurse observes a rough, crusty, eroded area, the nurse should
refer the client to a specialist
A patient reports excessive nosebleeds for a month, the nurse should…
refer the client to a specialist
A client is complaining about poorly fitting dentures, the nurse assesses this as a risk
aspiration
An adolescent reports teeth grinding at night, this might be a sign of
stress and anxiety
The nurse is planning a speech on risk factors for oral cancer what should be included?
diets low in fruits and vegetables are a possible risk for oral cancer
26.A client reports painful cracking in the corner of her lips, the nurse should assess for a deficiency of ___.
riboflavin
- A yellow tint to the hard palate may indicate
jaundice
28.. _____ is the uppermost part of the pharynx.
Nasopharynx
29.. _____ is a thick white patch of cells in the oral cavity that may be precancerous.
Leukoplakia
30.A bright red throat with white or yellow exudate indicates _____.
pharyngitis
31.The nurse is preparing to examine the sinuses of an adult client. After examining the frontal sinuses, the nurse should proceed to examine the
Maxillary sinuses
32.An adult client visits the clinic complaining of recurrent ulcers in the mouth. The nurse assesses the client’s mouth and observes a painful ulcer. The nurse should document the presence of
Aphthous stomatitis
33.A nurse assesses the mouth of an adult male client and observes a rough, crusty, eroded area. The nurse should
Refer the client for further evaluation
- An adult client visits the clinic and tells the nurse that she has been experiencing frequent nosebleeds for the past month. The nurse should
Refer the client for further evaluation
35.The nurse is assessing the mouth of an older adult and observes that the client appears to have poorly fitting dentures. The nurse should instruct the client that she may be at greater risk for
Aspiration
36.An adolescent client tells the nurse that her mother says she grinds her teeth when she sleeps. The nurse should explain to the client that grinding the teeth may be a sign of
Stress and anxiety
37.The nurse is planning a presentation to a group of high school students about the risk factors for oral cancer. Which of the following should be included in the nurse’s plan?
Diets low in fruits and vegetables are a possible risk for oral cancer
38.Before examining the mouth of an adult client, the nurse should first
Don clean gloves for the procedure
39.The nurse is assessing a client who has been taking antibiotics for an infection for 10 days. The nurse observes whitish curd-like patches in the client’s mouth. The nurse should explain to the client that these spots are most likely
Candida albicans infection
40.The nurse is assessing an adult client’s oral cavity for possible oral cancer. The nurse should explain to the client that the most common site of oral cancer is the
Area underneath the tongue
41.The nurse is planning to inspect an adult client’s mouth, using a tongue depressor. The nurse should plan to
Depress the tongue blade slightly off center
- An adult client visits the clinic complaining of a sore throat. After assessing the throat, the nurse documents the client’s tonsils as 4+. The nurse should explain to the client that 4+ tonsils are present when the nurse observes tonsils that are
Touching each other
43.. The nurse is preparing to inspect the nose of an adult client with an otoscope. The nurse plans to
Position the handle of the otoscope to one side
44.The nurse has assessed the nose of an adult client and has explained to the client about her thick yellowish nasal discharge. The nurse determines that the client understands the instructions when the client says that the yellowish discharge is most likely due to
An upper respiratory infection
1.While assessing the eyes of an adult client, the nurse uses a wisp of cotton to stimulate the client’s
Corneal reflexes
2.An adult client visits the clinic and tells the nurse that she has had a sudden change in her vision. The nurse should explain to the client that sudden changes in vision are often associated with
Head trauma
3.An adult client tells the nurse that he has been experiencing gradual vision loss. The nurse should
Check the client’s blood pressure
4.A 45 year old client tells the nurse that he occasionally sees spots in front of his eyes. The nurse should
Tell the client that these often occur with aging
- An adult client tells the nurse that her peripheral vision is not what it used to be and she has a blind spots in her left eye. The nurse should refer the client for evaluation of possible
Glaucoma
- A client visits the local clinic after experiencing head trauma. The client tells the nurse that he has a consistent blind spot in his right eye. The nurse should
Refer the client to an ophthalmologist
A client tells the nurse that she has difficulty seeing while driving at night. The nurse should explain to the client that night blindness is often associated with
Vitamin A deficiency
- An adult client visits the clinic and tells the nurse that he has been experiencing double vision for the past few days. The nurse refers the client to a physician for evaluation of possible
Increased in tracranial pressure
- An adult client tells the nurse that she frequently experiences burning and itching of both eyes. The nurse should assess the client for
Allergies
10.An adult client visits the outpatient clinic and tells the nurse that he has a throbbing arching pain in his right eye. The nurse should assess the client for
A foreign body in the eye
- An adult client visits the clinic and tells the nurse that he has had excessive tearing in his left eye. The nurse should assess the client’s eye for
Lacrimal obstruction
- The nurse is caring for a healthy adult client with no history of vision problems. The nurse should tell the client that a thorough eye examination is recommended every
2 years
13.An adult client tells the nurse that his eyes are painful because he left his contact lenses in too long the day before yesterday. The nurse should instruct the client that prolonged wearing of contact lenses can lead to
Corneal damage
- An adult client tells the nurse that his father had cataracts. He asks the nurse about risk factors for cataracts. The nurse should instruct the client that a potential risk factor is
UV light exposure
15.The nurse is preparing to examine an adult client’s eyes, using a Snellen chart. The nurse should
Position the client 609.6 cm (20ft) away from the chart
16.A client has tested 20/40 on the distant visual acuity test using a Snellen chart. The nurse should
Refer the client to an optometrist
- The nurse has tested an adult client’s visual fields and determined that the temporal field is 90 degrees in both eyes. The nurse should
Document the findings in the client’s records
18.The nurse has tested the near visual acuity of a 45 year old client. The nurse explains to the client that the client has impaired near vision and discusses a possible reason for the condition. The nurse determines that the client has understood the instructions when the client says that presbyopia is
Decreased accommodation
19.While assessing the eye of an adult client, the nurse observes an inward turning of the client’s left eye. The nurse should document the client’s
Esotropia
- The nurse is examining an adult client’s eyes. The nurse has explained the positions test to the client. The nurse determines the client needs further instructions when the client says that the positions test
Requires the covering of each eye separately
21.The bony orbit and fat cushion of the eye serves as a
protector
22.The tarsal plates of the upper eyelid contain
meibomian glands
23.The conjunctiva of the eye is divided into the palpebral portion and the
bulbar portion
24.Straight movements of the eye are controlled by the
rectus muscles
25.The middle layer of the eye is known as the
choriod layer
26.Photoreceptors of the eye are located in the eye’s
retina
27.The meibomian gland secrete
an oily substance to lubricate the eyes
28.The chambers of the eye contain aqueous humor, which helps to maintain intraocular pressure and
cleanse the cornea and the lens
29.The optic nerves from each eyeball cross at the
optic chiasma
30.The functional reflex that allows the eyes to focus on near objects is termed
accommodation
31.What does the confrontation test assess?
Peripheral vision
32.What does PERRLA mean?
Pupils equal round reactive to light and accommodation
33.When the nurse is assessing the corneal light reflex, what is being tested?
Where light reflects off of the corneas
34.When the nurse palpates the lacrimal apparatus, what is the normal finding?
No drainage is seen
35.What does cyanosis of the palpebral conjunctiva suggest?
Heart disorder
36.What is the name of the test where the nurse covers one eye at a time with an opaque card and quickly removes it?
Cover-uncover test
37.What is the name of the test where the nurse instructs the client to hold his head steady and to follow a pencil or a finger while the pencil or finger moves as if to make a large “X” with a line through it or a large “H”?
Positions test for extraocular movement
38.What is the correct technique for using the ophthalmoscope?
Nurse use right eye to examine client’s right
Eye
Nurse use left eye to examine client’s left eye
39.What the purpose of testing the red reflex?
Check for cataracts
40.What is the appearance of the normal optic disc?
Creamy color
Round with well-defined borders
