The nurse holds the tuning fork by the handle and gently strikes the fork on the palm of his hand. Then, the nurse places the base of the fork on the client's mastoid process
The nurse requests that the client indicate when the sound can no longer be heard. Which of the following tests is the nurse performing? 1. Weber
2. Whisper
3. Rinne
4. Romberg
3
Rationale 1: The Weber test uses bone conduction to evaluate hearing in a person who hears better in one ear than in the other. The nurse holds the tuning fork by the handle and strikes the fork on the palm of the hand. The nurse places the base of the vibrating fork against the client's skull. The midline of the anterior portion of the frontal bone is used.
Rationale 2: The whisper test is performed by standing to the side of the client at a distance of 1–2 feet and whispering information to the client. The client then repeats the information back to the nurse.
Rationale 3: The Rinne test is used to compare air and bone conduction of sound and is performed in this manner.
Rationale 4: The Romberg test is used to assess equilibrium. The client stands with feet together and arms at sides, first with eyes opened and then with eyes closed. The client's ability to maintain balance for 20 seconds with only mild swaying is documented as a negative Romberg test.
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