Nokea
Which statement by the nurse most accurately explains the pathophysiology of conductive hearing loss?
- A. Sound waves do not travel to the inner ear.
- B. There is a malfunction of inner ear structures.
- C. The auditory nerve does not transmit sound to the brain.
Correct Answer: A
Rationale: Conductive hearing loss occurs when sound waves are blocked from reaching the inner ear.
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When examining the electrical burn on the victim, which assessment is most important for the nurse to determine?
- A. The entry and exit wound sites
- B. Degree of skin discoloration
- C. Amount of eschar on the wound bed
- D. Characteristics of wound drainage
Correct Answer: A
Rationale: Identifying entry and exit sites assesses the extent of internal tissue damage.
Which common characteristic of open-angle glaucoma is this client most likely to report?
- A. Itching and burning eyes
- B. Lddedness to the reading
- C. Seeing halos around lights
- D. Loss of peripheral vision
Correct Answer: D
Rationale: Open-angle glaucoma typically causes gradual loss of peripheral vision.
Which problem should the nurse identify for the client recently diagnosed with leprosy (Hansen’s disease)?
- A. Social isolation.
- B. Altered body image.
- C. Potential for infection.
- D. Alteration in comfort.
Correct Answer: A
Rationale: Leprosy’s stigma often leads to social isolation, a priority psychosocial problem. Body image, infection, and comfort are secondary.
After reviewing the medical orders, which of the following is essential for the nurse to assess preoperatively?
- A. The client's face for skin lesions
- B. The client of the last dose of anticoagulant
- C. The client's right eye for drainage
- D. The client's left eye for signs of strain
Correct Answer: B
Rationale: Assessing the last anticoagulant dose is critical to prevent bleeding during surgery.
Which response demonstrates that the parents understand the nurse's explanation of why organisms travel more easily from the nasopharynx to the middle ear in a child?
- A. A child's eustachian tube is shorter and straighter.
- B. A child's eustachian tube is longer and straighter.
- C. A child's eustachian tube is longer and more curved.
Correct Answer: A
Rationale: A shorter, straighter eustachian tube in children facilitates organism travel.