While Performing an Assessment of the Integument System, the Nurse

question 1

Multiple Choice

While performing an assessment of the integument system, the nurse notes the client's eyeballs are protruding and the upper eyelids are elevated. What term would the nurse use to document this finding?

• A) Cyanosis.
• B) Exophthalmos.
• C) Erythema.
• D) Normocephalic.

---

Definitions:

Disordered Thoughts

A condition often reflected as fragmented or disconnected thoughts, typically associated with mental health disorders.

Removed From Reality

A phrase describing a state or condition in which an individual is out of touch with the physical world or current circumstances.

Delusion

A false belief or judgment, often of a paranoid or grandiose nature, that is maintained despite being contradicted by reality or rational argument.

Reincarnation

The belief that the soul, after death, can begin a new life in a new body, a concept found in various religious and philosophical traditions.