The nurse prepares to conduct a quick evaluation of a 1-month-old infant's hearing. Which action will provide the best information?
1. Examining the child's ear canal with an otoscope
2. Using a vibrating tuning fork placed against the child's skull
3. Using tympanometry to assess the child's hearing
4. Using a noisemaker to evaluate the child's response
4
Explanation:
1. Inspection of the ear canal and membrane will not provide any information on the infant's hearing ability.
2. In a school-age child, this will test bone conduction, but it is not appropriate for an infant.
3. Tympanometry is a tool to evaluate the movement of the tympanic membrane. Although related to sound transmission, it is not the best response.
4. This is a quick, simple evaluation of the child's ability to hear sounds. The child's response can be a stopping of activity, widening of the eyes, or turning toward the sound.
You might also like to view...
Nurses assess and monitor existing client problems, plan for corrective learning opportuni-ties, and foresee possible difficulties in the role of
1. teacher. 2. advocate. 3. counselor. 4. care provider.
Which individual can help the client prepare for the adjustment to life with a fecal diversion?
a. client's personal physician b. skin care nurse c. wound, ostomy and continence nurse d. fecal diversion nurse
The nurse has been teaching a client about a new diagnosis of diabetes mellitus. Which statement by the client indicates a good understanding of self-management?
a. "After bathing each day, I will inspect my feet and rub lotion between my toes and on my heels." b. "I can store 3 months' worth of insulin at room temperature as long as the bottles are not open." c. "My medical alert bracelet is important to identify me as having diabetes if I am un-conscious." d. "If I travel eastward to see my family, I should plan on using more insulin on the day I travel."
The goal for a patient is to increase resiliency. Which outcome should a nurse add to the plan of care? Within 3 days, the patient will:
a. describe feelings associated with loss and stress. b. meet own needs without considering the rights of others. c. identify healthy coping behaviors in response to stressful events. d. allow others to assume responsibility for major areas of own life.