The nurse prepares to examine a young adult's tympanic membrane. To straighten the ear canal, in which direction should the pinna be pulled?
a. down and back c. up and forward
b. down and forward d. up and back
D
The pinna should be pulled up and back on an adult and on a child over 3 years of age. This helps straighten the S-shape of the ear canal. On an infant and child under 3 years of age, the pinna should be pulled down and back.
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What should the nurse include in the plan of care following a tympanoplasty?
a. Elevating head of bed with operative side facing upward b. Enforcing bed rest for 72 hours c. Frequent turning, coughing, and deep breathing d. Continuous irrigation of the ear canal with antibiotic solutions
A patient in the intensive care unit is receiving continuous venovenous hemofiltration for acute kidney injury. In order for the nurse to successfully provide the treatment for the patient, what needs to occur?
1. Infusion of a dialysate through the hemofilter 2. Creation of a fistula 3. Connection to a small pump 4. Successful placement of the catheter in an artery and a vein
A client with a history of myocardial infarction calls the clinic to report the onset of a cough that is troublesome only at night. What direction does the nurse give to the client?
a. "Please come into the clinic for an evalua-tion." b. "Increase your fluid intake during waking hours." c. "Use an over-the-counter cough suppres-sant." d. "Sleep on two pillows to facilitate post-nasal drainage."
A man experiencing premature ejaculation tells the nurse, "I feel like such a failure. It's so awful for both me and my wife. Can you help me?" Select the nurse's best response
a. "Sex therapy is not my specialty, but I will try to help." b. "I can refer you to a practitioner who can help you with this problem." c. "Have you asked your health care provider for prescription medication?" d. "There are several techniques described in this pamphlet that might be helpful."