The nurse is performing an ear examination of an 80-year-old patient. Which of these findings would be considered normal?
a. High-tone frequency loss
b. Increased elasticity of the pinna
c. Thin, translucent membrane
d. Shiny, pink tympanic membrane
ANS: A
A high-tone frequency hearing loss is apparent for those affected with presbycusis, the hearing loss that occurs with aging. The pinna loses elasticity, causing earlobes to be pendulous. The eardrum may be whiter in color and more opaque and duller in the older person than in the younger adult.
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a. Keeping the infant flat after feeding b. Giving over-the-counter decongestants c. Avoiding getting water in the ears d. Cleaning the ear canal with cotton-tipped applicators
A client was admitted to the emergency room with severe abdominal pain, anorexia, chills, skin pallor, a weak and thready pulse of 118, a blood pressure of 70/40, rebound tenderness, and abdominal rigidity. For what should the nurse prepare this client?
1. Treatment for shock 2. Exploratory laparoscopy 3. Administration of antibiotics 4. Diagnostic testing with barium and endoscopy
The purpose of the National League for Nursing is to
1. Set standards and rules in nursing education. 2. Keep nurses aware of the newest medical information. 3. Oversee training to protect patients from incompetent nurses. 4. Keep nurses updated on the newest information about nursing education.
In working with clients with personality disorders, the staff suddenly seem to be fighting with each other. Which of the following is the MOST likely explanation?
a. Staff are tired and need a rest. b. Staff are stressed and need to work on techniques to reduce stress. c. Clients are manipulating staff and pitting staff against each other. d. The rules on the unit are not clear, so the staff need to work on the rules.