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 D

Explanation

Choice A rationale

Diphenhydramine does not expand blood volume. It is an antihistamine used to prevent allergic reactions.

Choice B rationale

Diphenhydramine does not enhance clotting factors. It is used to manage allergic reactions.

Choice C rationale

While diphenhydramine can help manage fever and chills, its primary purpose before a blood transfusion is to prevent allergic reactions.

Choice D rationale

Administering diphenhydramine before a blood transfusion helps prevent urticaria and other allergic reactions by blocking histamine release. .

A. Apply a non-pressure patch to the affected eye. B. Clean the eye from inner to outer canthus. C. Notify the surgeon. D. Instill an antibiotic solution in both eyes.

Correct Answer is C

Explanation

Choice A rationale

Applying a non-pressure patch to the affected eye can help protect the eye from further irritation or injury. However, it does not address the underlying issue of purulent drainage, which could indicate an infection that requires immediate medical attention.

Choice B rationale

Cleaning the eye from inner to outer canthus is a standard practice to prevent the spread of infection. However, in this case, the presence of purulent drainage suggests a possible infection that needs to be evaluated by a surgeon.

Choice C rationale

Notifying the surgeon is the priority action because purulent drainage from the eye can indicate a serious infection or complication following surgery. Immediate medical evaluation and intervention are necessary to prevent further complications and ensure proper treatment.

Choice D rationale

Instilling an antibiotic solution in both eyes may be part of the treatment plan for an infection. However, the nurse should first notify the surgeon to get appropriate orders and ensure that the correct antibiotic and treatment plan are followed.

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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?

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Naxlex Comprehensive Predictor Exams

What is the purpose of administering diphenhydramine before a blood transfusion?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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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?