A young client has a perforation of the tympanic membrane that occurred while cleaning the ear with a pointed object. The nurse would advise that
a. a hearing aid is usually necessary after the tympanic membrane heals.
b. perforations often heal spontaneously with no complications.
c. the client should remain in a quiet environment until healed.
d. the client will most likely experience vertigo.
B
A perforation may be either acute, as seen in trauma and acute infection, or chronic, as seen in repeated infection. An acute perforation has a better chance of healing spontaneously than does a chronic perforation.
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The nurse is assessing the client's abdomen and notes dullness when percussing over the left lower quadrant. Which question is most appropriate for the nurse to ask the client at this time?
1. "How much alcohol do you drink?" 2. "Do you have pain after eating?" 3. "When was your last bowel movement?" 4. "Have you ever had splenomegaly?"
A nurse is caring for a neonate born with a congenital heart anomaly. To better help the parents understand the impact of this disorder, the nurse begins by describing the usual flow of blood through the heart which takes what course?
A) Deoxygenated blood from the lungs enters the left atrium through the pulmonary artery. B) Oxygenated blood from the lungs enters the right atrium through the pulmonary veins. C) Deoxygenated blood from the lungs enters the right atrium through pulmonary veins. D) Oxygenated blood from the lungs enters the left atrium through the pulmonary veins.
Two hours after delivery, a client's fundus is boggy and has risen to above the umbilicus. What is the first action the nurse would take?
1. Massage the fundus until firm 2. Express retained clots 3. Increase the intravenous solution 4. Call the physician
When putting on clothing, clothing is put on:
a. The strong side first b. The weak side first c. In the order the person prefers d. In the order directed by the nurse