A nurse is assessing a client who reports manifestations of tinnitus. Which of the following actions should the nurse perform to determine if movement is causing the clients manifestations to worsen?

Ask the client to move their eyes side to side while keeping their head still.

Ask the client to breathe in through pursed lips.

Ask the client to pull the pinna of their ears up and back.

Ask the client to open their mouth widely.

Answer and Explanation

The Correct Answer is A

A. Ask the client to move their eyes side to side while keeping their head still: This action helps assess if movement exacerbates the client's tinnitus. Tinnitus that worsens with eye movement suggests a potential vascular cause, as the blood vessels surrounding the auditory nerve may be affected. This maneuver is known as the Valsalva maneuver and can help identify vascular issues contributing to tinnitus.

B. Ask the client to breathe in through pursed lips: Breathing through pursed lips is a technique used to help manage shortness of breath and is not directly related to assessing tinnitus or its exacerbating factors.

C. Ask the client to pull the pinna of their ears up and back: Pulling the pinna of the ears up and back is a maneuver commonly performed during otoscopic examination to straighten the ear canal for better visualization of the tympanic membrane. It is not directly relevant to assessing tinnitus or its exacerbating factors.

D. Ask the client to open their mouth widely: Opening the mouth widely is not typically associated with exacerbating tinnitus. This action is more relevant for assessing temporomandibular joint (TMJ) dysfunction or other oral conditions but is not specific to tinnitus assessment.

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Correct Answer is ["A","B","C"]

Explanation

Answer: A, B, and C

Rationale: A) Falls: Falls are a leading cause of traumatic brain injuries (TBIs) across all age groups, especially among older adults and young children. Falls can occur due to various factors such as slipping, tripping, or accidents from heights.

B) Violence: Acts of violence, including assaults, gunshot wounds, and domestic abuse, are significant contributors to TBIs. These traumatic events can result in head injuries with varying degrees of severity, depending on the force and nature of the trauma.

C) Sports-related injuries: Participation in contact sports or activities with a risk of collision or impact, such as football, soccer, or cycling, can lead to TBIs. Athletes may experience concussions or more severe head injuries during games or practice sessions.

D) Working as a firefighter: While occupations like firefighting can expose individuals to hazardous situations, including fires and building collapses, they are not typically cited as primary causes of TBIs. However, firefighters may face head injury risks while performing their duties, especially during rescue operations or structural collapses.

E) Working in a factory: While accidents in industrial settings can lead to various injuries, including head trauma, they are not among the primary causes of TBIs. However, workers in factories or industrial environments may face risks associated with machinery accidents, falling objects, or workplace incidents.

A. Tau protein B. Neurofibrillary tangles C. Alpha-synuclein protein D. Beta-amyloid protein

Correct Answer is C

Explanation

A. Tau protein: Tau protein is primarily associated with Alzheimer's disease and other tauopathies, not Lewy body dementia.

B. Neurofibrillary tangles: Neurofibrillary tangles are aggregates of hyperphosphorylated tau protein found in Alzheimer's disease, not typically in Lewy body dementia.

C. Alpha-synuclein protein: Lewy bodies, which are abnormal aggregates of alpha-synuclein protein, are a hallmark pathology of Lewy body dementia. These protein aggregates disrupt neuronal function and are responsible for the cognitive, motor, and emotional symptoms seen in Lewy body dementia.

D. Beta-amyloid protein: Beta-amyloid protein is primarily associated with Alzheimer's disease, not Lewy body dementia. It forms plaques in the brain, which contribute to neurodegeneration and cognitive decline in Alzheimer's disease.

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A nurse is assessing a client who reports manifestations of tinnitus. Which of the following actions should the nurse perform to determine if movement is causing the clients manifestations to worsen?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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