A nurse is assessing a client for conductive hearing loss.
When using the Rinne test, which of the following results should the nurse identify as an indication that the client has conductive hearing loss of the left ear?

Sound is lateralizing to the right ear.

Sound is lateralizing to the left ear.

Air conduction is greater than bone conduction in the left ear.

Air conduction is less than bone conduction in the left ear.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Sound lateralizing to the right ear during the Rinne test does not indicate conductive hearing loss in the left ear. This result suggests that the right ear may have better hearing or that there is an issue with the left ear, but it does not specifically diagnose conductive hearing loss.

Choice B rationale

Sound lateralizing to the left ear during the Rinne test indicates that the left ear is perceiving the sound better, which could be due to conductive hearing loss in the left ear. However, this option does not provide a definitive result for conductive hearing loss.

Choice C rationale

Air conduction being greater than bone conduction in the left ear is a normal finding and does not indicate conductive hearing loss. In conductive hearing loss, bone conduction is typically better than air conduction.

Choice D rationale

Air conduction being less than bone conduction in the left ear is indicative of conductive hearing loss. This result means that the sound is being conducted through the bones of the skull more effectively than through the air, which is a hallmark of conductive hearing loss.

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Correct Answer is C

Explanation

Drinking room temperature beverages can help minimize irritation in the mouth and throat, which is beneficial for clients with stomatitis. Cold or hot beverages can exacerbate the condition by causing discomfort and pain.

Choice B rationale

Taking a prescribed analgesic can help manage the pain associated with stomatitis. Pain management is crucial for maintaining the client’s comfort and ability to eat and drink.

Choice C rationale

Stomatitis is not contagious and cannot be spread to family members. This statement indicates a need for further teaching as it reflects a misunderstanding of the condition.

Choice D rationale

Chemotherapy can affect the immune system, making the client more susceptible to infections and conditions like stomatitis. This statement is accurate and does not indicate a need for further teaching.

A. Notify the surgeon if white drainage develops on the eyelids. B. Sleep on the abdomen to facilitate wound healing. C. Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week. D. Bend at the waist to pick objects up from the floor.

Correct Answer is C

Explanation

Choice A rationale

White drainage on the eyelids is not a normal finding and should be reported to the surgeon. However, this is not a standard discharge instruction but rather a sign of potential infection.

Choice B rationale

Sleeping on the abdomen is not recommended after cataract surgery as it can increase pressure on the eye and disrupt healing. Patients are usually advised to sleep on their back or the unaffected side.

Choice C rationale

Avoiding lifting anything heavier than 4.5 kg (10 lb) for 1 week is a standard instruction to prevent increased intraocular pressure and ensure proper healing of the surgical site.

Choice D rationale

Bending at the waist to pick up objects can increase intraocular pressure and should be avoided. Patients are advised to bend at the knees instead.

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A nurse is assessing a client for conductive hearing loss. When using the Rinne test, which of the following results should the nurse identify as an indication that the client has conductive hearing loss of the left ear?

Nursing Test Bank

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A nurse is assessing a client for conductive hearing loss.
When using the Rinne test, which of the following results should the nurse identify as an indication that the client has conductive hearing loss of the left ear?