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A nurse is planning care for a preschooler whose parents report that the child has difficulty hearing. Which of the following recommendations should the nurse plan to make?

Request a prescription for a whisper test.

Refer the preschooler for an audiology evaluation.

Visually inspect the ear for cerumen impaction.

Ask the parents to keep a log of the hearing difficulty.

Answer and Explanation

The Correct Answer is B

A. The whisper test is a basic screening tool and not a substitute for a formal evaluation.

B. An audiology evaluation provides a comprehensive assessment of the child’s hearing.

C. While inspecting for cerumen impaction is important, it is not the definitive action in this case.

D. Keeping a log may be helpful, but it is not sufficient as a primary action.

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Correct Answer is A

Explanation

A. Administering a bronchodilator like albuterol before CPT helps open the airways, making it easier to mobilize secretions.

B. CPT should be performed before meals or 1 to 2 hours after eating to prevent vomiting.

C. Vibration should be performed during exhalation, not inspiration, to help loosen secretions.

D. Percussing each lung segment for 15 minutes is excessive; typically, each segment is percussed for 3-5 minutes.

A. Sudden rise in body temperature due to infection B. Pooling of blood in a cerebral space C. Structural brain lobe defect since birth D. Trauma to the head or neck area causing a concussion

Correct Answer is A

Explanation

A. Febrile seizures are most commonly triggered by a rapid increase in body temperature, typically due to an infection.

B. Pooling of blood in a cerebral space is associated with hemorrhagic conditions, not febrile seizures.

C. Structural brain defects are associated with epilepsy, not febrile seizures.

D. Trauma causing a concussion may lead to seizures but is not the cause of febrile seizures.

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A nurse is planning care for a preschooler whose parents report that the child has difficulty hearing. Which of the following recommendations should the nurse plan to make?

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