The client has experienced a permanent conductive hearing loss. This type of hearing loss is most commonly associated with which of the following?
A. History of cystic fibrosis and regular use of tobramycin
B. Frequent episodes of otitis media as a child
C. Production of large amounts of cerumen
D. History of diabetes mellitus
B
Chronic middle ear infections can thicken the tympanic membrane and cause degeneration of the ossicles. These alterations reduce the conduction of sound waves and lead to hearing loss. To-bramycin and diabetes mellitus damage the eighth cranial nerve and cause sensorineural hearing loss. Cerumen impactions result in temporary conduction hearing loss.
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The client who is 35 weeks pregnant tells the nurse she had some contractions last night but they went away when she got up and walked around. The nurse correctly responds by saying:
1. "Those were probably Braxton-Hicks contractions, sometimes called false labor." 2. "You should have gone to the Labor and Delivery unit when the contractions started." 3. "If that happens again, you should lie down on your left side and drink something with sugar." 4. "If you had contractions last night, it probably indicates it will soon be time to deliver."
The nurse is taking care of a client who states that he ignores the urge to defecate when he is at work. Which of the following responses by the nurse would explain why this practice should be changed?
1. "If you continue to ignore the urge to defecate, the urge is ultimately lost.". 2. "It is better to suppress the urge than to suffer embarrassment at work.". 3. "This is a common practice, and it will strengthen the reflex later.". 4. "You will get the urge later; don't worry.".
The client is receiving glipizide (Glucotrol) once a day. What is the best time of day for the nurse to administer this medication?
1. Midday, between meals 2. In the evening 3. In the morning 4. Before the primary meal of the day
The nurse is assessing a neonate immediately after birth. How does the nurse document the presence of bluish-black pigmentation on the neonate's buttocks?
A. Mongolian spots B. Nevus simplex C. Nevus flammeus D. Erythema toxicum