A nurse is performing a head-to-toe assessment and is preparing to examine the client's ears. Which equipment would the nurse need to have readily available?
Tuning fork
Stethoscope
Ophthalmoscope
Tongue depressor
The Correct Answer is A
A. Tuning fork: A tuning fork is used in auditory assessments, such as hearing tests, to evaluate hearing loss and bone conduction.
B. Stethoscope: While a stethoscope is essential for auscultation of heart and lung sounds, it is not used for examining the ears.
C. Ophthalmoscope: An ophthalmoscope is used for examining the eyes, not the ears.
D. Tongue depressor: A tongue depressor is used for examining the mouth and throat, not the ears.
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Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Identify ways to ensure client privacy: Ensuring privacy is essential for a respectful and confidential examination.
B. Turn on relaxing music of the client's choice: While this might improve the client's comfort, it is not a standard or necessary step before conducting a physical examination.
C. Wash hands: Hand hygiene is crucial before any physical examination to prevent infection.
D. Obtain and check needed equipment: Having and checking equipment ensures that all necessary tools are available and in working order for the examination.
E. Dim the lighting to promote comfort: Proper lighting can help in conducting a thorough examination and make the client feel more comfortable.
Correct Answer is C
Explanation
Rationale:
A. Fever: While fever might be a symptom of infection, it is not specific to inner ear infections.
B. Headache: This can be a symptom associated with inner ear infections, but vertigo is a more specific concern.
C. Vertigo: Inner ear infections often cause vertigo (dizziness or spinning sensations), so interventions for managing vertigo are crucial.
D. Rhinorrhea: This symptom is more commonly associated with upper respiratory infections rather than inner ear infections.
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