During an examination, the nurse notices severe nystagmus in both ...

[Metfan725]

During an examination, the nurse notices severe nystagmus in both eyes of a patient. Which conclusion by the nurse is correct? Severe nystagmus in both eyes:
 
  a. Is a normal occurrence.
  b. May indicate disease of the cerebellum or brainstem.
  c. Is a sign that the patient is nervous about the examination.
  d. Indicates a visual problem, and a referral to an ophthalmologist is indicated.

Question 2

The nurse knows that testing kinesthesia is a test of a person's:
 
  a. Fine touch.
  b. Position sense.
  c. Motor coordination.
  d. Perception of vibration.

[adammoses97]

Answer to Question 1

ANS: B
End-point nystagmus at an extreme lateral gaze normally occurs; however, the nurse should carefully assess any other nystagmuses. Severe nystagmus occurs with disease of the vestibular system, cerebellum, or brainstem.

Answer to Question 2

ANS: B
Kinesthesia, or position sense, is the person's ability to perceive passive movements of the extremities. The other options are incorrect.

[Metfan725]

Thank you

[adammoses97]

No problemo