A client is brought to the emergency department (ED) by ambulance ...

[dollx]

A client is brought to the emergency department (ED) by ambulance after being found on the floor by a family member. The nurse begins the assessment of the client.
 
  Which finding would indicate the need for a more detailed neurological assessment of this client?
  1. Asymmetry of the client's smile.
  2. Grimacing with movement.
  3. Talking in a loud voice.
  4. Inability to follow directions.

Question 2

The nurse educator is demonstrating the proper technique for assessing a client for fremitus. Which part of the hand will the instructor use to demonstrate proper technique?
 
  1. A.
  2. B.
  3. C.
  4. D.

[flannelavenger]

Answer to Question 1

Correct Answer: 1
Asymmetry of facial expressions is a cue that the client may be experiencing a neurological problem and the nurse should perform an assessment of the cranial nerves. Grimacing with movement provides a cue that the client may be experiencing a musculoskeletal problem. Talking in a loud voice may cue the nurse that the client has hearing loss. The client's inability to follow directions may also be the result of a hearing loss.

Answer to Question 2

Correct Answer: 3
Fremitus, or vibration, is best assessed using the metacarpophalangeal joints, at the base of the fingers on the ulnar surface of the hand.