The nursing is performing an otoscopic examination on an adult client and is unable to visualize the tympanic membrane. Which action by the nurse is appropriate in this situation?
1. Pull the pinna up and back, then reinsert the otoscope.
2. Tell the client to move away from the speculum if they experience any pain as the otoscope is advanced.
3. Reinsert the otoscope quickly and press against both sides of the inner auditory canal.
4. Pull the pinna down and back, then reinsert the otoscope.
Correct Answer: 1
To avoid trauma to the ear, the otoscope is to be removed and the pinna should be pulled up and back for better visualization. The client should be instructed to state any feelings of discomfort or pain but not to pull away because this may result in injury during this examination. The otoscope should not be inserted quickly and should not be pressed against either side of the inner auditory canal because it would be painful for the client. Pulling down and back is recommended in children because of the shape of their auditory canal.
You might also like to view...
According to Piaget's theory, the adolescent has reached the cognitive stage of formal operations, which allows the adolescent to
a. See a situation from many viewpoints b. Understand a situation based only on what he or she has experienced c. Think in very concrete terms d. Learn from the experiences of his or her parents and peers
A researcher wishes to study the effects of a low-fat diet on self-esteem, weight, and energy levels among obese women over age 40. Which is the independent variable in this study?
a. Low-fat diet b. Obesity c. Self-esteem, weight, and energy levels d. Women over 40
During an examination of the head of a healthy adult, the findings labeled with numbers ____________________ are expected. (Your answer should appear as numbers separated by commas and spaces [e.g., 1, 2, 3, 4].)
1. Small red lesions with white flakes scattered on the scalp 2. The head and facial bones are proportional for the size of the body 3. Depressions palpated on the right and left sides over the parietal bones 4. Head held flexed 15 degrees to the left 5. Eyes, nose, and mouth appear balanced 6. Occipital prominence palpated
The patient is a 24-year-old man who is diagnosed with possible HIV infection while being treated for active pneumonia. He has stated that the nurse may share test result information with his significant other but nothing else at this time
With whom may the nurse communicate regarding this information? a. The patient's parents b. The patient's significant other only c. No one in the hospital until the patient says so d. The patient's physician, significant other, and laboratory personnel