During a Weber test, a patient is found to have increased hearing in the right ear. The nurse realizes that this finding is consistent with which condition?
1. Normal aging
2. Conductive hearing loss in the left ear
3. Possible buildup of cerumen or otitis media in the right ear
4. Perforated left eardrum
3
Rationale 1: Lateralization is not associated with normal aging.
Rationale 2: If the patient has conductive hearing loss, the sound will lateralize to the ear with the loss because sound is being conducted directly through the bone to the ear. So if this patient's loss were conductive, the loss would be in the right ear, not the left.
Rationale 3: A buildup of cerumen or otitis media in the ear can cause conductive hearing loss. In the Weber test, sound is lateralized to the ear with the conductive loss.
Rationale 4: Perforation of the left eardrum would result in a conductive hearing loss. In the Weber test, sound lateralizes to the ear with the conductive loss.
You might also like to view...
A client with a diagnosis of acute appendicitis is awaiting surgical intervention. The nurse listens to bowel sounds and hears none and observes that the abdomen is rigid and boardlike
What complication does the nurse determine may be occurring at this time? A) Constipation B) Paralytic ileus C) Peritonitis D) Accumulation of gas
What should the gynecology clinic nurse recommend for the client experiencing premenstrual syndrome (PMS)?
1. "Increase your consumption of red meat when you feel symptoms, and eat three large meals per day." 2. "Engage in aerobic activity often throughout the month, and continue exercising when your symptoms begin." 3. "Decrease your dietary intake of dairy and soy slightly during the month, and especially during your days of bleeding." 4. "Eat more chocolate and drink more caffeine beginning a week prior to when your menstrual cycle bleeding should begin."
Prior to receiving lumbar epidural anesthesia, in which position should the nurse place the client in labor?
1. Lying prone with a pillow under the chest 2. On the right side in the center of the bed with the back curved 3. On the left side with the bottom leg straight and the top leg slightly flexed 4. Sitting on the edge of the bed with the back slightly curved and feet on a stool
The nurse prepares to exercise a digital removal of feces. To detect an untoward effect of this procedure, the nurse should assess the patient history for which condition?
a. Heart disease b. Abdominal pain c. Urinary infection d. Diabetes mellitus