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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. VII: The Facial nerve (VII) is responsible for taste sensation in the anterior two-thirds of the tongue. An inability to taste in this area indicates a dysfunction in this nerve.
B. XII: The Hypoglossal nerve (XII) controls tongue movements but does not involve taste sensation.
C. V: The Trigeminal nerve (V) provides sensation to the face and mouth but is not responsible for taste.
D. II: The Optic nerve (II) is involved in vision, not taste.
Correct Answer is C
Explanation
A. Diverticulosis: This condition involves the formation of pouches in the colon and is not associated with Murphy's sign.
B. Nephrolithiasis: This refers to kidney stones and is not associated with Murphy's sign.
C. Acute Cholecystitis: Murphy's sign is a clinical test for acute cholecystitis, which is inflammation of the gallbladder. It is positive when the patient experiences pain upon palpation of the gallbladder area during inhalation.
D. Appendicitis: Appendicitis is an inflammation of the appendix and is not related to Murphy's sign.
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