Nur 2102 Exam 2 Exams Questions And Answers 100% Verifed Answers A.docx

What instructions does the nurse give the patient before palpating the right supraclavicular lymph nodes? a. "Lean your head backward and toward the right as far as comfortably possible." b. "Lie supine and turn your head away from the right side." c. "Draw up your shoulders forward, and flex your chin toward the right side." d. "Sit up, raise both arms over your head, and flex your chin away from the right side." {Ans: c. "Draw up your shoulders forward, and flex your chin toward the right side." Option C is the technique for palpating the supraclavicular nodes. Option A is incorrect. The patient should draw up (hunch) the shoulders forward rather than leaning back. The patient should be sitting, rather than lying down. The shoulders should be drawn up (hunched) forward, rather than raising the arms.}A nurse shines a light in the right pupil to test constriction and notices that the left pupil constricts as well. Based on these data, the nurse should take what action? a. Document this finding as an abnormal finding. b. Assess the patient for accommodation. c. Document this finding as a consensual reaction. d. Assess the patient's corneal light reflex. {Ans: c.