The nurse is performing an otoscopic examination on an adult. Which of these actions is correct?
a. Tilting the person's head forward during the examination
b. Once the speculum is in the ear, releasing the traction
c. Pulling the pinna up and back before inserting the speculum
d. Using the smallest speculum to decrease the amount of discomfort
ANS: C
The pinna is pulled up and back on an adult or older child, which helps straighten the S-shape of the canal. Traction should not be released on the ear until the examination is completed and the otoscope is removed.
You might also like to view...
A resident has just moved to a long-term care facility. During the admission process, a series of laboratory tests was performed. While reviewing the test results, the nurse notes the presence of bacteria in the urine
Which of the actions by the nurse should be completed next? A) Review the nursing assessment for reports consistent with a urinary tract infection. B) Notify the physician. C) Order a culture and sensitivity to identify the exact type of bacteria. D) Order a repeat urinalysis to confirm the initial test.
The removal of plasma water and some low–molecular weight particles by using a pressure or osmotic gradient is known as:
a. dialysis. b. diffusion. c. clearance. d. ultrafiltration.
An example of a situational change trigger is
A. A man learning he is a father. B. A woman diagnosed with cancer. C. A nurse learning to use a new computerized charting system. D. A nursing manager promoted to assistant chief nursing officer.
Pancreatitis results in
a. excessive production of digestive enzymes and bicarbonate, causing duodenal ulcers. b. decreased production of digestive en-zymes and bicarbonate, causing malab-sorption of fats and proteins. c. increased production of pancreatic hor-mones, causing a decrease in blood glu-cose levels. d. decreased production of pancreatic hor-mones, causing an increase in blood glu-cose levels.