In performing a voice test to assess hearing, which of these actions would the nurse perform?
Shield the lips so that the sound is muffled.
Whisper a set of random numbers and letters, and then ask the patient to repeat them.
Ask the patient to place his finger in his ear to occlude outside noise.
Stand approximately 4 feet away to ensure that the patient can really hear at this distance.
The Correct Answer is B
A. Shield the lips: Shielding the lips ensures the patient is not lip-reading but should not muffle the sound.
B. Whisper random numbers and letters: The whisper test involves standing behind the patient, whispering a series of numbers and letters, and asking the patient to repeat them.
C. Occlude outside noise: Asking the patient to occlude one ear may alter test results.
D. Stand approximately 4 feet away: The whisper test is typically performed from 1-2 feet behind the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Pretibial edema: Edema is more indicative of venous function, not arterial function.
B. Palpate pedal pulses bilaterally: Palpation of the pedal pulses is essential to assess arterial circulation in the lower extremities.
C. Allen test: This assesses arterial blood flow to the hand, not the lower extremities.
D. Homan sign: Homan sign is used (though controversial) to assess for deep vein thrombosis (DVT), which is related to venous, not arterial, function.
Correct Answer is {"dropdown-group-1":"A"}
Explanation
Claudication due to arterial abnormalities in
Rationale: Intermittent claudication is a hallmark symptom of peripheral arterial disease (PAD). It is characterized by muscle pain or cramping in the lower extremities, typically triggered by exercise and relieved by rest. The pain occurs due to ischemia, or reduced blood flow, resulting from partial arterial obstruction.
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