A client presents to the clinic with complaints of otalgia and muffled sounds. The client is diagnosed with external otitis. Which of the following will the nurse not include in client teaching?

Report itching if it becomes bothersome

Use earplugs when swimming

Insert a cotton-tip applicator to remove excess wax

Use a hairdryer set to low, 6 inches away from ear

Answer and Explanation

The Correct Answer is C

Choice A Reason: Reporting itching if it becomes bothersome is part of client teaching, as it may indicate inflammation or infection of the ear canal. External otitis is also known as swimmer's ear, as it can be caused by water trapped in the ear after swimming or bathing.

Choice B Reason: Using earplugs when swimming is part of client teaching, as it can prevent water from entering and irritating the ear canal. External otitis can be prevented by keeping the ear dry and avoiding trauma or foreign objects.

Choice C Reason: This is the correct choice. Inserting a cotton-tip applicator to remove excess wax is not part of client teaching, as it can damage or scratch the ear canal and increase the risk of infection. Wax helps protect and lubricate the ear canal and should not be removed unless it causes hearing impairment or discomfort.

Choice D Reason: Using a hairdryer set to low, 6 inches away from ear is part of client teaching, as it can help dry the ear canal after swimming or bathing. External otitis can be treated by applying warm compresses, using topical antibiotics or antifungals, and taking pain relievers or anti-inflammatory drugs.

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Correct Answer is A

Explanation

Choice A Reason: This is correct because macular degeneration is a condition that affects the macula, which is the central part of the retina that is responsible for sharp and detailed vision. Macular degeneration can cause blurred or distorted central vision, difficulty reading or recognizing faces, or dark spots in the visual field.

Choice B Reason: This is incorrect because glaucoma is a condition that affects the optic nerve, which is the nerve that connects the eye to the brain and carries visual signals. Glaucoma can cause increased pressure inside the eye, damage to the optic nerve, and loss of peripheral vision.

Choice C Reason: This is incorrect because diabetic retinopathy is a condition that affects the blood vessels in the retina, which is the layer of tissue at the back of the eye that converts light into nerve impulses. Diabetic retinopathy can cause bleeding, swelling, or leakage of fluid in the retina, and loss of vision in any part of the visual field.

Choice D Reason: This is incorrect because cataract is a condition that affects the lens, which is the transparent structure behind the pupil that focuses light onto the retina. Cataract can cause clouding or opacity of the lens, and reduced vision in all parts of the visual field.

A. Administer antibiotics when available. B. Document intake and output. C. Reduce environmental stimuli. D. Maintain seizure precautions.

Correct Answer is A

Explanation

Choice A reason: This is the correct answer because bacterial meningitis is a medical emergency that requires immediate antibiotic therapy to prevent complications and death.

Choice B reason: This is incorrect because documenting intake and output is not a priority action for a child with bacterial meningitis. Fluid balance is important, but not as urgent as antibiotic administration.

Choice C reason: This is incorrect because reducing environmental stimuli is a supportive measure that can help reduce headache and photophobia, but it is not a priority action for a child with bacterial meningitis. The nurse should focus on preventing infection spread and monitoring for signs of increased intracranial pressure.

Choice D reason: This is incorrect because maintaining seizure precautions is a preventive measure that can help protect the child from injury, but it is not a priority action for a child with bacterial meningitis. The nurse should administer anticonvulsants as prescribed and observe for seizure activity, but the main goal is to treat the infection.

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A client presents to the clinic with complaints of otalgia and muffled sounds. The client is diagnosed with external otitis. Which of the following will the nurse not include in client teaching?

Nursing Test Bank

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