The nurse is caring for a client diagnosed with an acoustic neuroma. Which assessment finding does the nurse anticipate when receiving shift report that is not related to hearing?
A) Impaired facial movement and numbness and tingling
B) Stroke like symptoms with bilateral facial droop
C) Difficulty swallowing
D) Inability to smell scents
A
Feedback:
The nurse anticipates that the previous shift nurse will report assessment findings of symptoms of impaired facial movement and possibly symptoms of facial numbness and tingling. Symptoms related to hearing include hearing loss, tinnitus, and vertigo.
You might also like to view...
A student nurse wants to know why a bruit is heard and a thrill palpated at the site of an AV fistula used for dialysis. Which response by the nephrology nurse is the most appropriate?
A. Abnormal findings signaling complications B. Flapping of the AV valve during circulation C. Small blood clots blocking some blood flow D. Turbulent blood flow through the fistula
An older adult who resides in an assisted living facility has sought care from the nurse because of recurrent episodes of constipation. Which of the following actions should the nurse first perform?
A) Encourage the patient to take stool softener daily. B) Assess the patient's food and fluid intake. C) Assess the patient's surgical history. D) Encourage the patient to take fiber supplements.
A 42-year-old woman tells the nurse that she has found a painless lump in her right breast during her monthly self-examination. She says that she is afraid that she has cancer
Which assessment finding would strongly suggest that this patient's lump is cancerous? A) Eversion of the right nipple and mobile mass B) Nonmobile mass with irregular edges C) Mobile mass that's soft and easily delineated D) Nonpalpable right axillary lymph nodes
The postoperative client's arterial blood gas values are pH 7.22, HCO3– 21 mEq/L, PCO2 65 mm Hg, and PO2 58 mm Hg. What is the nurse's best first action?
A. Notify the physician. B. Assess the client's airway. C. Increase the oxygen flow rate. D. Document the finding as the only action.