The nurse is reviewing the role of several structures that assist in protecting the ear to the client. What would be the nurse's best explanation be of how the ossicles work in protecting the ear?
A) Aid in protecting the ear from foreign objects
B) Protect the two layers by separating the external from the middle ear
C) Protect the vital internal organs of the middle and inner ear from injury
D) Equalize the pressure in the middle ear with atmospheric pressure
C
Feedback:
Ossicles protect the vital internal organs of the middle and inner ear from injury. Cerumen aids in protecting the ear from foreign objects. The tympanic membrane separates the external from the middle ear. The Eustachian tubes function to equalize the pressure in the middle ear with atmospheric pressure.
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The nurse tests the capillary refill on a client's lower extremity and notes that it takes 4 seconds for the color to return to baseline. It would be most important for the nurse to then check for
a. constricting clothing. b. other indicators of peripheral perfusion. c. presence of venous ulcers. d. prior surgery on this extremity.
Indicate which interventions would help prevent aspiration during eating for a client with a temporary tracheostomy. (Select all that apply.)
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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.".
Which assessment finding about a patient who has been using naproxen (Naprosyn) for 6 weeks to treat osteoarthritis is most important for the nurse to report to the health care provider?
a. The patient has gained 3 pounds. b. The patient has dark-colored stools. c. The patient's pain has become more severe. d. The patient is using capsaicin cream (Zostrix).