When a patient complains of progressive hearing loss, crackling and ringing noises in his ear, and progressive ear pain, the nurse should assess for:
a. a dead battery in the patient's hearing aid.
b. cerumen impaction.
c. sinus congestion.
d. a middle ear infection.
B
Symptoms of cerumen impaction are progressive hearing loss, bothersome noises in the ear, and progressive ear pain.
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The nurse is preparing a client recovering from sickle cell crisis for discharge. To prevent future crises from occurring, the nurse should instruct the client to:
1. Eat a high-protein diet. 2. Keep well hydrated. 3. Abstain from alcohol use. 4. Avoid doing any types of exercise.
The client with a severe allergy to peanuts expresses concern to the nurse that she is worried her 4-year-old son may inherit this allergy and be at risk for anaphylaxis. What is the nurse's best response?
A. "Your son may be more susceptible to allergies because you have allergies and should be tested to learn what his specific allergies are." B. "You should have your son wear a medical alert tag indicating a peanut allergy so that other people can help him avoid this allergen." C. "Your son is highly likely to have a peanut allergy because you do, and it will probably be more severe for him than it is for you." D. "Don't worry. Because allergies are produced by environmental exposure, unless you give him peanuts, he won't develop the allergy."
Some workplace strategies that nurses can utilize to help prevent fatigue are listed below. Which is not necessarily correct?
a. Stay up 24 hours when you are switching from a day to night shift. b. Take an uninterrupted 15-minute break every four hours. c. Rotate shift work clockwise when possible: days, evening, nights. d. Share a ride home or use public transportation.
Which assessment finding would cause the nurse to consider a child to be most at risk for the development of mental illness?
a. The child has been raised by a parent with chronic major depression. b. The child's best friend was absent from the child's birthday party. c. The child was not promoted to the next grade one year. d. The child moved to three new homes over a 2-year period.