A 70-year-old male complains of ringing in the ears. The nurse describes this as:
Tinnitus
Xerostomia
Myopia
Anosmia
The Correct Answer is A
The nurse would describe this as tinnitus, which is a sensation of hearing sound when no external sound is present. Tinnitus is commonly described as ringing in the ears, but can also be perceived as buzzing, humming, hissing, or other sounds. Tinnitus can be caused by a variety of factors, including age-related hearing loss, exposure to loud noises, ear infections, certain medications, and underlying medical conditions such as high blood pressure, thyroid disorders, or head and neck injuries. It is important for the patient to see a healthcare provider to determine the underlying cause and appropriate treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The sense of taste is primarily mediated by the facial nerve (cranial nerve VII) and the glossopharyngeal nerve (cranial nerve IX). However, testing the function of specific cranial nerves such as the hypoglossal nerve (cranial nerve XII) or cranial nerve XI (11) is not directly related to evaluating the patient's ability to taste. Therefore, options a, b, and c would not be the most appropriate actions for the nurse to take in this scenario.
Correct Answer is D
Explanation
The nurse would use the skill of "inspection" first when examining the cardiovascular system of a patient. The inspection involves observing the patient's physical appearance, skin color, and breathing pattern. After inspection, the nurse would move on to palpation, percussion, and auscultation.
Palpation involves feeling for pulses and areas of tenderness, while percussion involves tapping the chest to assess the density of underlying tissues. Auscultation involves listening to heart sounds using a stethoscope.
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