A patient has been admitted after an accident at work. During the assessment, the patient is having trouble hearing and states, "I don't know what the matter is. All of a sudden, I can't hear you out of my left ear!" What should the nurse do next?
Make note of this finding for the report to the next shift
Prepare to remove cerumen from the patient's ear.
Irrigate the ear with rubbing alcohol.
Notify the patient's health care provider
The Correct Answer is D
A. Make note of this finding: Delaying action by merely reporting the finding later may compromise patient care.
B. Prepare to remove cerumen: Sudden hearing loss is unlikely to be caused by cerumen buildup without further assessment.
C. Irrigate with rubbing alcohol: This is inappropriate and could harm the ear.
D. Notify the health care provider: Sudden sensorineural hearing loss can be a medical emergency and should be promptly evaluated by the healthcare provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Liver enlargement: Pain from liver enlargement is typically felt in the right upper quadrant, not along the costovertebral angle.
B. Spleen enlargement: Splenic pain is usually located in the left upper quadrant, not in the costovertebral area.
C. Ovarian infection: Pain from ovarian infection is typically felt in the lower abdomen or pelvis, not the back.
D. Kidney inflammation: Pain along the costovertebral angles often indicates kidney inflammation or infection, such as pyelonephritis.
Correct Answer is B
Explanation
A. Pupillary dilation when looking at a far object: While dilation occurs with distance, the question specifically refers to near vision.
B. Pupillary constriction when looking at a near object: Accommodation is the process by which the eyes adjust to focus on near objects, which includes pupillary constriction and lens thickening.
C. Changes in peripheral vision: This describes visual field testing, not accommodation.
D. Involuntary blinking in bright light: This describes the corneal reflex, not accommodation.
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