A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?
Deliver a series of high-pitched sounds at random intervals.
Whisper a series of words softly into one ear.
Place an activated tuning fork in the middle of the client's forehead.
Hold an activated tuning fork against the client's mastoid process.
The Correct Answer is C
C. This procedure helps assess the conduction of sound through bone to both ears, which can indicate whether hearing loss is conductive or sensorineural. The sound should be heard equally in both ears if hearing is normal. If there is unilateral hearing loss, the sound will be heard better in one ear.
A. Not part of the weber’s test
B. Not part of the weber’s test D. Described the Rinne’s test
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Related Questions
Correct Answer is C
Explanation
C. An artificial larynx is a device that can help the client produce speech after a laryngectomy. Teaching the client about this option before the surgery allows them to understand what to expect and how to use it effectively postoperatively. However, while important, this may not be the highest priority immediately before the surgery.
A. Emotional support is essential for a client undergoing a total laryngectomy. However, it may not be the nurse's priority immediately before the surgery. While scheduling a support session is important, it may not be the most critical intervention at this moment.
B. This option is not the priority immediately before a total laryngectomy. While assessing the client's ability to communicate through reading is important for long-term communication planning, it is not the priority immediately before the surgery.
D. Esophageal speech is another method of speech production that some clients may choose after a laryngectomy. However, like option C, while important, this may not be the highest priority immediately before the surgery.
Correct Answer is B
Explanation
B. Trochanter rolls are positioning devices placed alongside the hips and thighs to prevent external rotation of the legs, which can lead to hip dislocation or pressure injuries. Using trochanter rolls helps maintain proper alignment of the lower extremities and reduces the risk of musculoskeletal complications.
A. Crossing the client's ankles when lying supine can increase the risk of pressure injuries, particularly over bony prominences such as the ankles, and impair circulation.
C. Placing the client's arms at their side is not typically recommended as it does not facilitate proper body alignment and can lead to discomfort.
D. Logrolling the client every 4 hours is a technique used for clients with spinal injuries or after certain types of spinal surgery and may not be necessary for all immobile clients.
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