The nurse takes into consideration that the Weber test indicated a conductive hearing loss in a patient because the patient reported hearing the tone in which way?
- A. equally in both ears.
- B. as a shrill noise.
- C. louder in his affected ear.
- D. very faintly.
Correct Answer: C
Rationale: A conductive hearing loss can be diagnosed by the Weber test. A person with a conductive loss will hear the noise louder in his affected ear.
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Which action will the nurse take when the patient arrives to the nursing unit after a left stapedectomy?
- A. Turn the patient to the right side.
- B. Change dressing as it becomes soiled.
- C. Turn patient every 2 hours.
- D. Leave the bed flat.
- E. Contact the surgeon if the patient reports hearing is not improved
Correct Answer: A,D,E
Rationale: The bed is left in the flat position and the patient is positioned with the operated side facing up, the patient is not turned, and the dressing is not changed by the nurse. Hearing is not expected to return until the edema is reduced and the packing is removed by the health care provider.
The nurse counsels the 16-year-old boy that playing his music at high volume can result in impairment in hearing related to which issue?
- A. damaged tympanic membrane.
- B. protective buildup of cerumen.
- C. damage of the fine hair cells in the organ of Corti.
- D. rupture of the oval window.
Correct Answer: C
Rationale: Long-term exposure to loud noises can damage the fine hair cells in the organ of Corti, which causes a conductive hearing loss.
Which technique does the cataract treatment of phacoemulsification involve?
- A. Drying' the cataract with hypertonic saline
- B. Removing the lens through the anterior capsule
- C. The insertion of a new lens
- D. Breaking the cataract with ultrasound
Correct Answer: D
Rationale: Phacoemulsification uses ultrasound to break up the cataract.
The patient tells the nurse that he is legally blind. In which way will this information impact the plan of care for this patient?
- A. The patient would be considered totally blind.
- B. This patient probably has some light perception, but no usable vision.
- C. This patient has some usable vision, which enables function at an acceptable level.
- D. The nurse would need to determine how this patient's visual impairment affects normal functioning.
Correct Answer: D
Rationale: Legal blindness' refers to individuals with a maximum visual acuity of 20/200 with corrective eyewear and/or visual field sight capacity reduced by 20 degrees. Categories have been established to help determine the exact extent of the vision loss and what assistive measures are appropriate for the individual. The nurse will need more information as to the exact extent of the vision loss for this patient.
Which advice will the nurse provide the 20 year old who has been put on cefaclor for a resistant otitis media?
- A. Store suspension at room temperature.
- B. Discontinue drug when symptoms abate.
- C. Avoid alcoholic beverages.
- D. Take with meals only.
Correct Answer: C
Rationale: Drinking alcohol is discouraged while on cefaclor. The drug should be taken in its entirety and stored in the refrigerator. The drug can be taken with or without meals.
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