The nurse is assessing a client for altered hearing and vestibular function. Which of the following findings require physician collaboration? (Select all that apply.)
A. Elongation of the pinna in a 70-year-old male
B. Cerumen impaction in a 75-year-old female
C. Clear drainage from the ear canal
D. Increasing vertigo
E. Inability to hear high frequency sounds in a 68-year-old male
F. Complaints of "tinnitus in ears" after starting gentamicinG. Bulging, red tympanic membrane
B, C, D, F, G
Rationale: Elongation of the pinna and inability to hear high-frequency sounds are considered normal variants of aging. Cerumen impaction affects quality of life and mental function and needs to be addressed. Clear drainage, increasing vertigo, tinnitus, and a bulging tympanic mem-brane indicate a more serious problem. Gentamicin is ototoxic and damage to cranial nerve VIII can occur if not discontinued.
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The laboratory has just called with the arterial blood gas (ABG) results on four patients. Which result is most important for the nurse to report immediately to the health care provider?
a. pH 7.34, PaO2 82 mm Hg, PaCO2 40 mm Hg, and O2 sat 97% b. pH 7.35, PaO2 85 mm Hg, PaCO2 45 mm Hg, and O2 sat 95% c. pH 7.46, PaO2 90 mm Hg, PaCO2 32 mm Hg, and O2 sat 98% d. pH 7.31, PaO2 91 mm Hg, PaCO2 50 mm Hg, and O2 sat 96%
The process of comprehending is completed when data saturation is achieved
A) True B) False
When a returning student first encounters a class with in-depth nursing theory or clinical experience, she is likely to experience
a. anxiety. c. excitement. b. intrigue. d. boredom.
When obtaining informed consent before commencing a procedure from women, midwives should not:
a. tell women about the risks and benefits associated with each option. b. present only the option(s) the midwife knows are appropriate. c. provide written material about proposed options. d. offer an opinion only if asked by the woman.