During an assessment of a 20-year-old Asian patient, the nurse notices that he has dry, flaky cerumen in his canal. What is the significance of this finding? This finding:
Could be indicative of change in cilia; the nurse should assess for hearing loss.
Represents poor hygiene.
Is probably the result of lesions from eczema in his ear.
Is a normal finding and no further follow-up is necessary
The Correct Answer is D
A. Change in cilia: This is not the cause of dry, flaky cerumen. It would not be typical to assess hearing loss based on this observation alone.
B. Poor hygiene: Dry, flaky cerumen is not indicative of poor hygiene. Hygiene-related cerumen would more likely be wet and impacted.
C. Lesions from eczema: While eczema can affect the ear canal, the dry cerumen itself is more likely to be a normal characteristic for some individuals, particularly in people of Asian descent.
D. Normal finding: The presence of dry, flaky cerumen is normal in certain ethnic groups, including East Asians, and usually requires no follow-up.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Blepharitis: Inflammation of the eyelid margins, typically associated with itching, burning, and crusting, but not localized pustules.
B. Dacryocystitis: Inflammation of the lacrimal sac, causing swelling near the inner canthus, not on the lid margin.
C. Chalazion: A painless lump or cyst inside the eyelid, not typically painful, red, or swollen at the lid margin.
D. Hordeolum (Stye): A stye is a localized infection of a sebaceous gland at the eyelid margin, causing pain, redness, and swelling.
Correct Answer is B
Explanation
A. Decreased adaptation to darkness: This change is related to decreased rod function but is not responsible for presbyopia.
B. Loss of lens elasticity: Correct. Presbyopia is caused by the age-related loss of elasticity in the lens, which reduces the ability to focus on near objects.
C. Decreased distance vision abilities: This may occur with other conditions like myopia but does not cause presbyopia.
D. Degeneration of the cornea: This can affect vision but is not responsible for presbyopia.
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