The nurse is teaching a client never to insert objects such as cotton swabs, toothpicks, or matches into the ears to clean them
Based on this information, what are the rationales for not placing these objects in the ear that the nurse needs to review with the client? 1 . Injure the ear canal
2 . Cotton swab frequently becomes lodged in ear
3 . Puncture the eardrum
4 . Push earwax further into the ear canal
A) 1, 2, 3
B) 1, 2, 4
C) 1, 3, 4
D) 2, 3, 4
C
Feedback:
Warn clients never to insert objects, such as cotton swabs (Q-Tips), toothpicks, or matches into their ears to clean them. These objects can injure the ear canal, puncture the eardrum, or push earwax further into the ear canal, making removal more difficult.
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If a patient recovering from a hemorrhoidectomy experiences dizziness within 5 minutes when taking a sitz bath, the nurse should:
a. cover the patient to prevent chilling. b. stay with the patient until the full time for the bath has elapsed. c. remove the patient from the sitz bath and return to bed. d. assess vital signs every 5 minutes during the remainder of the sitz bath.
The nurse is designing a health education program for the community. What action should the nurse take first?
1. Prioritize learning needs. 2. Write specific outcomes. 3. Assess the community. 4. Select teaching strategies.
A 6-year-old child has had a tonsillectomy. The child is spitting up small amounts of dark brown blood in the immediate postoperative period. The nurse should take what action?
a. Notify the health care provider. b. Continue to assess for bleeding. c. Give the child a red flavored ice pop. d. Position the child in a Trendelenburg position.
An 85-year-old patient asks why she always feels so cold. What should the nurse's response include?
Select all that apply. 1. "Heat sensors in the blood vessels lose sensitivity with aging." 2. "Your body metabolism is slowing the amount of blood flow." 3. "Blood vessels don't constrict as quickly with aging." 4. "Aging causes a layer of the blood vessels to stiffen." 5. "One layer of the blood vessels gets thinner with aging."