The nurse is examining a patient's ears and notices cerumen in the external canal. Which of these statements about cerumen is correct?

Cerumen is necessary for transmitting sound through the auditory canal.

The presence of cerumen is indicative of poor hygiene.

The purpose of cerumen is to protect and lubricate the ear.

Wet, honey-colored cerumen is a sign of infection.

Answer and Explanation

The Correct Answer is C

A. Cerumen does not transmit sound; it is a protective substance that traps dust, debris, and microorganisms, helping to keep the ear canal clean.
B. The presence of cerumen is not necessarily indicative of poor hygiene. It is a normal bodily secretion that serves an important protective function.
C. Cerumen (earwax) serves to protect the ear canal from infection and irritation and lubricates the ear canal, helping to prevent dryness.
D. Wet, honey-colored cerumen is typically normal and not a sign of infection. If cerumen is associated with infection, it may appear yellowish, thick, or accompanied by other symptoms like pain or discharge.

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Correct Answer is A

Explanation

A. Spiritual care is an essential component of holistic nursing practice. Nurses can offer spiritual support, regardless of their own personal beliefs, to meet the emotional and spiritual needs of the patient.
B. A nurse's different religious beliefs do not prevent them from providing spiritual support; it is about respect and compassion for the patient's needs.
C. While the chaplain may be a resource for spiritual care, nurses can also support a patient's spiritual needs, especially when requested directly by the patient.
D. There is no need for a physician's order to address spiritual care or offer a prayer, as it is part of holistic nursing care and patient-centered support.

A. Ask the patient to read the print on a handheld Jaeger card. B. Use the Snellen chart positioned 20 feet away from the patient. C. Determine the patient's ability to read newsprint at a distance of 12 to 14 inches. D. Perform the confrontation test.

Correct Answer is B

Explanation

A. The Jaeger card is typically used to assess near vision, not visual acuity at a distance, and would be more appropriate for an adult or someone with suspected near-vision issues.
B. The Snellen chart is used to assess distance visual acuity, and it is the standard tool for visual acuity testing for both adults and adolescents. The chart should be positioned 20 feet away from the patient to measure their ability to see at a distance.
C. Determining the ability to read newsprint is a test for near vision, not visual acuity for distance.
D. The confrontation test is a screening for peripheral vision, not for visual acuity.

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The nurse is examining a patient's ears and notices cerumen in the external canal. Which of these statements about cerumen is correct?

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