When using an otoscope to assess the client's ear, the nurse notes that the tympanic membrane moves in response to air injected into the external canal. Which of the following should the nurse do?
A. Immediately remove the otoscope to prevent infection.
B. Document the finding.
C. Prepare to wash the external ear canal.
D. Notify the physician.
B
The healthy, unscarred, uninfected ear should have a tympanic membrane that is mobile when air is injected into the external canal.
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A client is scheduled for a laparoscopy to remove endometriosis tissue. Which response by the client alerts the nurse of the need for further teaching?
a. "The surgeon told me that carbon dioxide would be infused into my pelvic cavity." b. "There will be one or more small incisions in order to visualize all of the organs." c. "There will be some shoulder pain after the procedure that may last 48 hours." d. "I can return to jogging my 3-mile routine in a few days."
The nurse is discussing the differences between a patient with a neurosis and one with a psychosis. What is true of the patient experiencing a neurosis?
a. The patient experiences a flight from reality. b. The patient usually needs hospitalization. c. The patient has insight that there is an emotional problem. d. The patient has severe personality deterioration.
A client has been prescribed brinzolamide (Azopt). Which findings would the nurse discuss with the prescriber before administering this drug?
1. The client's last potassium level was low. 2. The client is a vegetarian. 3. The client is allergic to sulfa. 4. The client has a history of atopic dermatitis. 5. The client's father had a myocardial infarction at age 35.
Women with PID typically present with all of the following except:
A. dysuria. B. leukopenia. C. cervical motion tenderness. D. abdominal pain.