A nurse is caring for four clients.
Which of the following clients should the nurse identify as at risk for inner ear inflammation?
A client who has tested positive for Helicobacter pylori.
A client who has a viral respiratory infection.
A client who has a tumor pressing on the pituitary gland.
A client who is taking ampicillin.
The Correct Answer is B
Choice A rationale
Helicobacter pylori infection is associated with gastrointestinal conditions like peptic ulcers and gastritis, not with inner ear inflammation.
Choice B rationale
Viral respiratory infections can spread to the middle ear through the Eustachian tube, potentially leading to inflammation and infection of the inner ear (otitis media).
Choice C rationale
A tumor pressing on the pituitary gland can cause hormonal imbalances but is not directly related to inner ear inflammation.
Choice D rationale
Ampicillin, an antibiotic, is used to treat bacterial infections but does not inherently increase the risk of inner ear inflammation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Canned tuna contains iron, but it is generally lower in iron content compared to other meat options. It is a good source of protein and omega-3 fatty acids, but not the highest in iron.
Choice B rationale
Pork roast is a good source of iron, particularly heme iron, which is more easily absorbed by the body compared to non-heme iron from plant sources. However, it is not the highest among the given options.
Choice C rationale
Chicken breast provides a moderate amount of iron but not as much as red meat. It is a lean protein source with other essential nutrients but not the highest in iron content.
Choice D rationale
Ground beef is rich in heme iron, which is highly bioavailable. Red meat, including ground beef, is one of the best dietary sources of iron, making it the highest iron content option among the given choices.
Correct Answer is D
Explanation
Choice A rationale
A capillary refill time of 3 seconds is slightly prolonged but not as concerning as other symptoms. Monitoring is warranted, but it is not an immediate priority.
Choice B rationale
Cool fingers can indicate reduced circulation, but it requires further assessment to determine its significance. Immediate attention is needed if accompanied by other severe symptoms.
Choice C rationale
Severe itching can be uncomfortable and may indicate skin irritation, but it is not typically a medical emergency.
Choice D rationale
Increased pain at the fracture site can indicate complications such as compartment syndrome, which requires immediate medical intervention to prevent permanent damage.
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