During a hearing assessment, the nurse notes that the sound lateralizes to the clients left ear with the Weber test. The nurse analyzes this result as: A. A normal finding. B. A conductive hearing loss in the right ear. C. A sensorineural or conductive loss. D. The presence of nystagmus. … Read More »
Chad, a 5-year-old preschooler, is brought to the clinic due to an ear problem. Which assessment data would cause the nurse to suspect serous otitis media? A. Bright red, bulging, or retracted tympanic membrane and fever. B. Inflammation of the external ear and crust formation on the auditory canal. C. Sensorineural hearing… Read More »
The nurse is caring for a client that is hearing impaired. Which of the following approaches will facilitate communication? A. Speak frequently. B. Speak loudly. C. Speak directly into the impaired ear. D. Speak in a normal tone. Correct Answer: D. Speak in a normal tone. Speaking… Read More »
As Nurse Ryan entered the room, he saw the client choking and unable to speak. Which intervention should the nurse implement first for the client? A. Calling for help immediately. B. Leaving the client alone to clear his throat. C. Telling the client to adequately humidify the room. D. Trying to determine what… Read More »
The client’s vision is tested with a Snellen chart. The results of the tests are documented as 20/60. The nurse interprets this as: A. The client can read at a distance of 60 feet what a client with normal vision can read at 20 feet. B. The client is legally blind. C.… Read More »
The nurse teaches the mother of a newborn that in order to prevent sudden infant death syndrome (SIDS), the best position to place the baby after nursing is: Select all that apply. A. Prone B. Side-lying C. Supine D. Fowler’s E. Dorsal recumbent Correct Answers: B and C Research… Read More »
The nurse has conducted discharge teaching for a client who had a fenestration procedure for the treatment of otosclerosis. Which of the following, if stated by the client, would indicate that teaching was effective? A. “I should drink liquids through a straw for the next 2-3 weeks.” B. “It’s ok to take a… Read More »
Which statement by a client diagnosed with Ménière’s disease who has had a labyrinthectomy of the left ear indicates that he understands the discharge teaching concerning the surgery? A. “I should be able to hear fairly well after the edema in my ear subsides.” B. “I will be totally deaf in my left… Read More »
A client arrives at the emergency room with a foreign body in the left ear that has been determined to be an insect. Which intervention would the nurse anticipate to be prescribed initially? A. Irrigation of the ear. B. Instillation of diluted alcohol. C. Instillation of antibiotic ear drops. D. Instillation… Read More »
For a client diagnosed with epistaxis, which intervention would be included in the care plan? A. Performing several abdominal thrust (Heimlich) maneuvers. B. Compressing the nares to the septum for 5 to 10 minutes. C. Applying an ice collar to the neck area. D. Encouraging warm saline throat gargles. … Read More »