A nurse is performing an ear assessment on an older adult. Which of the following is a normal variation?
A. Bulging tympanic membrane
B. Coarse hair in the auditory canal
C. Impacted cerumen in the auditory canal
D. Small, painless nodules on the helix of the pinna
B
Growth of coarse hair in the auditory canal occurs in some older men and women. It does not interfere with hearing and is considered a normal variation related to aging.
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A nurse is caring for an 86-year-old female patient who has become increasingly frail and unsteady on her feet. During the assessment, the patient indicates that she has fallen three times in the month, though she has not yet suffered an injury
The nurse should take action in the knowledge that this patient is at a high risk for what health problem? A) A hip fracture B) A femoral fracture C) Pelvic dysplasia D) Tearing of a meniscus or bursa
The nurse is planning care for a client following abdominal surgery. Which outcome demonstrates a return of functioning to the gastrointestinal tract?
A) The client is tolerating sips of water. B) The client reports a small bowel movement. C) The client is passing flatus. D) The client states being hungry.
What percent of NCLEX-RN test questions are related to safe, effective care of patients
a. 13 to 19 c. 30 to 41 b. 21 to 33 d. 43 to 51
The patient states, "My epidural isn't working! I can still feel my contractions." Which of the following statements by the nurse is most appropriate?
a. "Don't worry, the pain won't be too bad." b. "I will ask the doctor to order you a narcotic." c. "The doctor must have done it wrong." d. "An epidural will allow you to sense your contractions, but you won't feel the pain."