A nurse is performing a Weber test on a client who reports difficulty hearing in his left ear. The client informs the nurse that he can hear the tone louder in his left ear. Which of the following does this result indicate?
The test is inconclusive
The client has conductive hearing loss
The client has normal hearing
The client has sensorineural hearing loss
The Correct Answer is B
Choice A Reason: The test is not inconclusive, but rather positive for conductive hearing loss. The Weber test involves placing a vibrating tuning fork on the center of the forehead and asking the client which ear hears the sound louder. It can help differentiate between conductive and sensorineural hearing loss.
Choice B Reason: This is the correct choice. The client has conductive hearing loss, which is a type of hearing loss that occurs when sound waves are blocked or reduced in the outer or middle ear. It can be caused by earwax, infection, fluid, perforation, or trauma. In conductive hearing loss, the Weber test shows lateralization to the affected ear, meaning the sound is heard louder in that ear.
Choice C Reason: The client does not have normal hearing, but rather conductive hearing loss. In normal hearing, the Weber test shows no lateralization, meaning the sound is heard equally in both ears.
Choice D Reason: The client does not have sensorineural hearing loss, but rather conductive hearing loss. Sensorineural hearing loss is a type of hearing loss that occurs when there is damage to the inner ear or auditory nerve. It can be caused by aging, noise exposure, disease, or drugs. In sensorineural hearing loss, the Weber test shows lateralization to the unaffected ear, meaning the sound is heard louder in that ear.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is incorrect because loss of peripheral vision is not a manifestation of cataracts, but of glaucoma. Glaucoma is a condition that causes increased pressure inside the eye and damage to the optic nerve, which can lead to loss of vision in the outer edges of the visual field. The nurse should assess the client's intraocular pressure and visual field test results to rule out glaucoma.
Choice B reason: This is correct because a decreased ability to perceive colors is a manifestation of cataracts. Cataracts are a condition that causes clouding or opacity of the lens, which is the transparent structure behind the pupil that focuses light onto the retina. Cataracts can reduce the clarity and contrast of vision and make colors appear faded or yellowish. The nurse should ask the client about any changes in color perception or brightness of objects.
Choice C reason: This is incorrect because loss of central vision is not a manifestation of cataracts but of macular degeneration. Macular degeneration is a condition that affects the macula, which is the central part of the retina that is responsible for sharp and detailed vision. Macular degeneration can cause blurred or distorted central vision, difficulty reading or recognizing faces, or dark spots in the visual field. The nurse should assess the client's visual acuity and fundoscopic examination results to rule out macular degeneration.
Choice D reason: This is incorrect because seeing bright flashes of light and floaters is not a manifestation of cataracts but of retinal detachment. Retinal detachment is a condition that occurs when the retina, which is the layer of tissue at the back of the eye that converts light into nerve impulses, separates from its underlying support tissue. Retinal detachment can cause sudden flashes of light, floaters, or shadows in the visual field. The nurse should refer the client to an ophthalmologist immediately if retinal detachment is suspected.
Correct Answer is ["2600"]
Explanation
The total fluid prescribed is 5,200 mL over 24 hours. We need to calculate how much fluid the client will receive in the first 8 hours.
Step-by-Step Calculation:
Step 1: Determine how much fluid is given in the first 8 hours. The rule is that half of the total fluid is administered in the first 8 hours.
- Total fluid = 5,200 mL.
- Fluid for the first 8 hours = Total fluid ÷ 2.
Write it out:
5,200 ÷ 2 = 2,600.
Result: 2,600 mL.
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