The nurse is conducting an assessment of a patient's hearing. Which test is the nurse conducting, as demonstrated in the picture?
1. Rinne test
2. tympanogram
3. auditory precision test
4. Weber test
Correct Answer: 4
Tuning forks are used to determine whether a hearing loss is conductive or perceptive. The Weber test is performed by placing the base of a vibrating tuning fork on the midline vertex of the patient's head. Sound is normally heard equally in both ears. If the sound is not heard equally, the cause may be a buildup of cerumen, an infection such as otitis media, or perforation of the eardrum. In the Rinne test, a vibrating tuning fork is placed on the patient's mastoid bone to determine the conduction of sound by bone and air conduction. In a tympanogram, a measuring device is inserted into the ear canal to measure the pressure of the middle ear and observe the tympanic membrane's response to waves of pressure. In the auditory precision test, the patient sits in a soundproof room and raises a hand when sounds are heard.
You might also like to view...
The nurse is caring for a client who was recently admitted to the unit. During the nursing assessment of the client, the nurse finds the client's beliefs and actions related to many health practices to stray from the norm
Which action would be most appropriate for the nurse to take at this time? 1. Repeat the assessment later in the day. 2. Write a nursing diagnosis to address the "bizarre" beliefs and actions. 3. Inquire as to the culture with which the client identifies. 4. Communicate the findings to the health care team.
An older patient with a history of environmental exposure to chemicals complains of shortness of breath. Which symptom most likely indicates the patient has chronic obstructive pulmonary disease (COPD)?
A) Red, frothy sputum B) Greenish, thick sputum C) Purulent and foul-smelling sputum D) Sticky, translucent, grayish white sputum
What is the priority nursing diagnosis for the client with stress incontinence?
A. Chronic Pain B. Social Isolation C. Risk for Infection D. Risk for Impaired Skin Integrity
A client is trying to explore and solve a problem. Which nursing statement would be an example of verbalizing the implied?
A. "You seem to be motivated to change your behavior." B. "How will these changes affect your family relationships?" C. "Why don't you make a list of the behaviors you need to change." D. "The team recommends that you make only one behavioral change at a time."