What findings does the nurse expect when assessing the ears of a healthy adult? Select all that apply
a. Cerumen noted in the outer ear canal
b. Pinna located below the external corner of the eye
c. Cone of light located in the 5 o'clock position in the left ear
d. Ratio of air conduction to bone conduction 2:1
e. Tympanic membrane pearly gray
f. Whispered words repeated accurately
ANS: A, D, E, F
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The client admits to cleaning his ears with a cotton-tipped applicator. As a consequence, the client has developed impacted cerumen and unilateral hearing loss. As the nurse prepares the client's plan of care, which nursing diagnosis is most applicable?
1. Acute pain. 2. Knowledge deficit. 3. Acute confusion. 4. Unilateral neglect.
Which statement about findings from a nursing study is written in the proper, scholarly form?
1. Data from the measurement of attitudes is presented in Table 1. 2. Data from the measurement of attitudes was presented in Table 1. 3. Data from the measurement of attitudes were not analyzed. 4. Data from the measurement of attitudes are not analyzed.
The nurse is installing a bed safety-monitoring device for a client. What should the nurse do after testing the device and alarm sound?
1. Place the leg band on the client with the leg in a straight horizontal position. 2. Place the sensor under the mattress near the shoulder region. 3. Set a time delay for 30 seconds. 4. Connect the sensor pad to the control unit.
A 5-year-old client has recurrent night terrors. What nursing intervention should the nurse use to help alleviate this problem?
1. Have the child walk around in the room when night terrors occur. 2. The next morning, ask the child to describe the event. 3. Have the child empty the bladder prior to going to bed. 4. Use an additional pillow behind the child's head at night.