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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. A vision of 20/30 means that the patient can read at 20 feet what a person with normal vision can read at 30 feet, indicating mild visual impairment.

B. This reverses the explanation of 20/30 vision and is incorrect.

C. This option incorrectly describes the Snellen chart results, which measure clarity of vision at specific distances, not entire chart reading ability.

D. This option confuses visual acuity for each eye; Snellen scores do not indicate different distances for each eye.

A. Warm the stethoscope before auscultating B. Have the patient bend their knees C. Expose only the abdomen for examination D. Have the patient empty his/her bladder

Correct Answer is D

Explanation

A. Warming the stethoscope: Improves comfort but is not the first step.

B. Bending the knees: Helps relax abdominal muscles but is done after bladder emptying.

C. Exposing only the abdomen: Ensures privacy but does not affect comfort as much as an empty bladder.

D. Emptying the bladder relieves pressure and discomfort, allowing for a thorough and accurate examination.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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