When is it appropriate for the nurse to use an otoscope during a physical assessment?
Select all that apply.
1. Inspecting the nose.
2. Funneling light into the ear canal.
3. Inspecting the internal structures of the eye.
4. Assessing pulses that are not palpable.
5. Detecting fungal infections of the skin.
Correct Answer: 1, 2
The otoscope can be used to inspect the nose, by inserting a wide speculum into the client's naris. The otoscope funnels light into the ear canal to allow the examiner to inspect the tympanic membrane (eardrum) as well as the ear canal itself. The ophthalmoscope is used to inspect the internal structure of the eye. The Doppler uses ultrasonic waves to detect pulses that are difficult to palpate. A Wood's lamp produces a black light that emits a yellow-green fluorescence on skin in the presence of a fungal infection.
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