The elderly client is admitted to the hospital for severe back pain. Which data should the nurse assess first during the admission assessment?

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Skin Integrity Practice Questions Questions

Question 1 of 5

The elderly client is admitted to the hospital for severe back pain. Which data should the nurse assess first during the admission assessment?

Correct Answer: B

Rationale: Assessing pain level first addresses the chief complaint and guides subsequent care planning.

Question 2 of 5

The client diagnosed with glaucoma is prescribed a miotic cholinergic medication. Which data indicate the medication has been effective?

Correct Answer: B

Rationale: Miotic cholinergics (e.g., pilocarpine) reduce intraocular pressure by constricting the pupil and opening drainage channels, the primary goal in glaucoma management.

Question 3 of 5

The nurse is conducting a Weber test on the client who is suspected of having conductive hearing loss in the left ear. Where should the nurse place the tuning fork when conducting this test?

Correct Answer: A

Rationale: The Weber test involves placing the tuning fork on the midline of the skull or forehead to assess for lateralization of sound.

Question 4 of 5

Which data indicate to the nurse the client who is one(1) day postoperative right total hip replacement is progressing as expected?

Correct Answer: D

Rationale: Clear lung sounds indicate adequate respiratory function without complications.

Question 5 of 5

Which laboratory data make the nurse suspect the client with primary hyperparathyroidism is experiencing a complication?

Correct Answer: A

Rationale: Elevated creatinine suggests renal damage, a complication of hyperparathyroidism from hypercalcemia.

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