During a Weber test, the client reported more sound on the right side. Which of the following does this finding indicate?
a. Conductive hearing loss in the right ear
b. Sensorineural hearing loss in the right ear
c. Conductive hearing loss in the left ear
d. Sensorineural hearing loss in the right ear
ANS: A
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The nurse is planning to assess the pain level of an older patient who is hearing impaired. Which assessment technique would be the most appropriate for the nurse to use?
A) Withhold analgesia until the patient requests it. B) Ask the patient to rate pain on a scale of 1 to 10. C) Show the patient a scale with 0 being a smile and 6 being a crying grimace. D) Show the patient a picture of the body with a pain intensity scale, and use keywords to ask about her pain.
The best way to monitor agitation and effectiveness of treating it in the critically ill patient is to use a/the:
a. Confusion Assessment Method (CAM-ICU). b. FACES assessment tool. c. Glasgow Coma Scale. d. scale such as Richmond Agitation Sedation Scale.
A client is scheduled for a prostatectomy for benign prostatic hyperplasia (BPH). On the morning of surgery, the laboratory report on the client's urine indicates the presence of red blood cells, white blood cells, and bacteria
Which is the nurse's highest priority action? a. Document the report in the client's chart. b. Insert a new Foley catheter before surgery. c. Strain the client's urine. d. Assess the client's vital signs and notify the health care provider.
The client is prescribed Phenergan (promethazine hydrochloride) 12.5 mg IM q4h prn nausea. The vial is labeled 50 mg/mL. How many mL of medication will the nurse administer to this client? Round the answer to the nearest hundredth
What will be an ideal response?