jarvis physical assessment test bank

Questions 53

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jarvis physical assessment test bank Questions

Question 1 of 5

The nurse is assessing a client with diabetes and notes that the client has a strong odor of acetone on their breath. What action should the nurse take next?

Correct Answer: A

Rationale: The acetone odor on the breath is a sign of ketosis, which may indicate that the client�s blood glucose is elevated. Immediate blood glucose monitoring is needed.

Question 2 of 5

The nurse practitioner palpates an enlarged right epitrochlear lymph node in a 30-year-old patient. The Nurse Practitioner should assess the patient's:

Correct Answer: C

Rationale: Enlarged epitrochlear nodes are associated with infections or conditions in the hand or forearm.

Question 3 of 5

When assessing a patient's condition, which of the following scenarios would be considered critical trauma?

Correct Answer: D

Rationale: A fall from a height greater than 20 feet is considered critical trauma.

Question 4 of 5

Lenore White is an 80-year-old woman who smokes two packs of cigarettes per day. What two ethical principles are in conflict?

Correct Answer: D

Rationale: The nurse faces a dilemma between respecting autonomy (the patient�s choice to smoke) and preventing harm (nonmaleficence).

Question 5 of 5

What specific part of the eye is primarily examined using an ophthalmoscope?

Correct Answer: C

Rationale: An ophthalmoscope is used to examine the retina, which includes the optic disc and blood vessels.

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The nurse is assessing a client with diabetes and notes that the client has a strong odor of acetone on their breath. What action should the nurse take next?
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