To assess an adult client's hearing, the nurse performs the Rinne test by activating the tuning fork and placing it first at the:
A) front of the ear.
B) mastoid process.
C) top of the head.
D) affected ear.
Ans: B
Feedback:
Strike the tuning fork and place its stem firmly against the mastoid process.
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A patient with Parkinson's disease has difficulty tying shoes. What nursing intervention would be most helpful?
a. Explain to the patient that as the disease progresses, there will be many things that will require assistance. b. Tie the shoes for the patient. c. Reteach the patient to tie shoes. d. Have a family member purchase shoes with Velcro fasteners.
An intramuscular injection of an antianxiety agent is administered to a client who has become violent toward the staff in the emergency room. This is an example of what level of therapeutic intervention?
a. One b. Two c. Three d. Four
What reflex causes an increase in small intestine activity when the stomach is stimulated by stretching, the presence of food, or cephalic stimulation?
A) Duodenal–colic B) Gastroenteric C) Gastrocolic D) Ileogastric
You are working as a home health nurse and forgot to document that you changed your client's catheter. This oversight would most likely result in which of the following?
1. being fired from your job 2. an incident report filed against you for negligent nursing care 3. a client complaint 4. appropriate reimbursement for services being denied