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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While inserting a urinary catheter using aseptic technique is an important aspect of clinical care, it primarily focuses on maintaining hygiene and preventing infection rather than demonstrating the caring role.
B. Assessing the patient's entire health history is a critical nursing task but is more focused on gathering information rather than demonstrating the caring aspect.
C. Maintaining privacy when conversing with the patient shows respect for the patient’s dignity and confidentiality, which is a key demonstration of caring. It acknowledges the patient's need for emotional security and trust.
D. Administering antibiotic medications on time is part of ensuring the patient's treatment plan is followed but is more about medical responsibility than the specific expression of care.
Correct Answer is D
Explanation
A. "Understanding" is subjective and cannot be directly measured. It would be more effective if the goal focused on the patient demonstrating their understanding (e.g., "The patient will explain the importance of daily iron supplements").
B. Feelings such as comfort are difficult to measure objectively.
C. This goal is too broad and vague to be measured effectively. It's not clear how "sufficient information" would be assessed.
D. This goal is measurable because the nurse can observe or document if the patient verbalizes the responsibility to obtain their daily weights, which is an objective outcome that can be assessed.
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