A nurse is precepting a nursing student. The nurse explains to the nursing student how you would perform the graphesthesia test on a client. What is the correct way to perform this test?
The nurse will simultaneously touch the client in the same area on both sides of the body, and the client will identify where the touch occurred.
The nurse will briefly touch the client, and the client will need to identify where the touch occurred.
Client will close their eyes and identify what number the nurse writes in the palm of the client's hand with a blunt-ended object.
The client is to identify the numbers of points felt when the nurse touches the client with the ends of two applicators at the same time.
The Correct Answer is C
A. This description relates more to a sensory discrimination test, not graphesthesia.
B. This option does not accurately describe the graphesthesia test, which involves identifying shapes or numbers rather than just touch location.
C. In the graphesthesia test, the client closes their eyes while the nurse uses a blunt object to write a number or shape in the client's palm, and the client must identify what was written. This assesses the ability to recognize letters or numbers drawn on the skin.
D. This option describes a two-point discrimination test rather than graphesthesia, which focuses on identifying drawn shapes or numbers.
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Correct Answer is ["C","D","E"]
Explanation
A. Numbness in the right arm is not a risk factor for skin cancer; it is more related to neurological issues or circulation problems.
B. While working in a beauty parlor may involve exposure to certain chemicals, it is not a significant risk factor for skin cancer compared to other options.
C. A client with a fair skin complexion and blue eyes has a higher risk for skin cancer due to lower melanin levels, making them more susceptible to UV damage.
D. Smoking is primarily associated with lung cancer; however, it can also contribute to skin damage and increased risk for skin cancer, particularly squamous cell carcinoma.
E. A roofer who spends a lot of time outdoors and experiences blistering sunburns is at significant risk for skin cancer due to excessive UV exposure and history of severe sunburns.
Correct Answer is A
Explanation
A. To determine the heart rate from a rhythm strip, you can count the number of R-R intervals in a set time frame (typically 6 seconds) and multiply by 10 to convert to beats per minute. If the rhythm is regular, you can also use the 300 method by dividing 300 by the number of large squares between R waves. In this case, the rate is calculated to be 90 beats per minute.
B. A heart rate of 110 beats per minute would be classified as tachycardia and is not supported by the observed intervals.
C. A heart rate of 73 beats per minute would be a normal resting heart rate but does not match the calculation from the rhythm strip.
D. A heart rate of 50 beats per minute would indicate bradycardia, which is not reflected in this rhythm strip.