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Week 3 AssessmentA nurse determines that a client has 20/40 vision. Which statement about this client’s vision is true?a) the client can read the entire vision chart at a distance of 40' b) the client can read from a distance of 20' what a person with normal vision can read at 40'c) the client can read the vision chart from a distance of 20' with the right eye and from 40' with the left eyed) the client can read at a distance of 30' what a person can read at a distance of 40'B) the client can read from a distance of 20' what a person with normal vision can read at 40'the smaller the denominator the worse the visionthe numerator is always 20, the distance in feet between the chart and personthe denominator indicates what distance normal vision can read the chartWhen assessing a client’s abdomen which finding should the nurse report as abnormala) dullness over the liverb) bowel sounds occurring every 10 secondsc) shifting dullness over the abdomend) vascular sound over the renal arteriesc) shifting dullness over the abdomen would indicate ascites which is abnormaldullness over the liver, bowel sounds every 10 seconds and vascular sounds over the renal arteries are all normal sounds in the abdomenA nurse is assessing a 47-year-old client who has come to the clinic for his annual physical. Oneof the first physical signs of aging is a) having more frequent aches and painsb) failing eyesight, especially close visionc) increasing loss of muscle toned) accepting limitations while developing assetsb) failing eyesight, especially close vision is one of the first signs of aging in middle lifemore frequent aches and pains occur around age 65loss of muscle tone increases around age 80accepting limitations while developing assets occurs around age 31-45A nurse is assessing a client’s pulse. Which pulse feature should the nurse document?a) timing in the cycleb) amplitudec) pitchd) intensityB) amplitude(ARR)Amplitude, Rate, RhythmWhen auscultating a client’s abdomen, a nurse detects high pitched gurgles over the lower Right quadrant. Based on this finding, the nurse suspectsa) decreased bowel motilityb) increased bowel motilityc) nothing abnormald) abdominal cramping
c) nothing abnormalhigh pitch gurgles are normal findingsWhile performing an abdominal assessment a nurse should follow which examination sequencea) inspection, auscultation, percussion, palpationb) inspection, auscultation, palpation, percussionc) inspection, percussion, palpation, auscultationd) inspection, palpation, percussion, auscultationa) inspection, auscultation, percussion, palpationall other sequencing would be inspection, palpation, percussion and then auscultationA nurse prepares to perform an otoscopic examination on an adult. For proper visualization the nurse should position the client’s ear by pulling the:a) lobule down and forwardb) auricle up and backc) auricle up and forward