A parent reports their preschool-aged child often asks others to repeat statements and does not articulate common words correctly. The parents think the child has a hearing impairment due to multiple episodes of ear infections and rupture tympanic membranes. The nurse inspects the outer ear canal using an otoscope and no obstruction, inflammation, or drainage is observed. Which action is most important for the nurse to implement?
Clap behind the child's ears to assess for a reflex response to sound.
Refer the child for further evaluation and screening with audiometric testing.
Explain that preschool-agers may not respond when engaged in a task at play.
Inspect the nasal canals and oropharynx for inflammation and drainage.
The Correct Answer is B
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A,B,D,C
Explanation
A nurse on a medical-surgical unit is checking the bowel sounds of a client who has epilepsy. The client begins to experience a tonic-clonic seizure. Identify the sequence of steps the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
- Remain with the client and call for help.
- Place the client in the lateral position
- Reorient and reassure the client.
- Check the client for injuries.
Correct Answer is ["0.61"]
Explanation
The calculation for this question involves converting the prescribed dose from milligrams (mg) to millilitres (mL) using the available concentration of the medication.
Given: Prescribed dose of benztropine: 0.61 mg Medication concentration: 1 mg/mL
To calculate the volume (mL) to administer, use the formula: Volume (mL) = Prescribed dose (mg) / Medication concentration (mg/mL)
Volume (mL) = 0.61 mg / 1 mg/mL = 0.61 mL
Therefore, the nurse should administer 0.61 mL of benztropine.
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