The nurse is completing a physical exam for a 45-year-old client who has come to the family practice office. In evaluating the observations made during the examination, the nurse recognizes that an expected finding for a client in this age-group is:
1. Hepatomegaly
2. Visual acuity below 20/50
3. An oral temperature of 39° C
4. Increased amount of skin turgor
ANSWER
ANS: 2
The visual acuity tested by the Snellen chart should be less than 20/50. Hepatomegaly is not an expected finding and would be considered abnormal. Oral temperature should be 36.1 to 37.6° C. The expected finding would be a slow, progressive decrease in skin turgor.
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