Janie presents to the clinic with hard ear wax in both ear canals. Instructions regarding home removal of hard cerumen include:

1. Moisten a cotton swab (Q-tip) and swab the ear canal twice daily.
2. Instill tap water in both ears while bathing.
3. Squirt hydrogen peroxide into ears with each bath.
4. Instill carbamide peroxide (Debrox) twice daily until canals are clear.


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Nursing

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Patients experiencing hypoxemia or hypermetabolism try to increase their oxygen intake by using their sternocleidomastoid, rectus abdominis, trapezius, and scalene muscles. What are these muscles called?

a. external intercostal muscles c. muscles of the diaphragm b. internal intercostal muscles d. accessory muscles

Nursing

A client is being evaluated in the emergency department after suffering severe burns to the torso and upper extremities. The nurse notes edema at the burned areas

Which of the following best describes the underlying cause for this manifestation? 1. Reduced vascular permeability at the site of the burned area 2. Decreased osmotic pressure in the burned tissue 3. Increased fluids in the extracellular compartment 4. Inability of the damaged capillaries to maintain fluids in the cell walls

Nursing

A nurse develops a plan to addressing dementia-related behaviors in an older adult with dementia. Which of the following interventions should be included in this plan? (Select all that apply.)

A) Maintain a clutter-free environment. B) Implement regular rest periods. C) Place pictures of familiar people in very visible places. D) Lay out clothing in the order in which the items are to be donned. E) Test the client's memory with each conversation.

Nursing

Which one of the following is an example of a nurse's statement that reflects using the scientific method in the nursing process?

a. "My instincts tell me that the client is getting depressed." b. "The client doesn't look the same today. I think something is wrong." c. "The client's husband told me that the client is feeling uncomfortable." d. "The client seems to be having more pain today than yesterday and her blood pressure is elevated."

Nursing