The nurse is examining a patient's ears, which of the following findings is considered the expected findings?
The cone of light at 7 o'clock in the right ear and 5 o'clock in the left ear with a pink and moist tympanic membrane.
The cone of light at 7 o'clock in the right ear and 5 o'clock in the left ear with a pearly gray tympanic membrane.
The cone of light at 5 o'clock in the right ear and 7 o'clock in the left ear with a pink and moist tympanic membrane.
The cone of light at 5 o'clock in the right ear and 7 o'clock in the left ear with a pearly gray tympanic membrane.
The Correct Answer is B
A. The cone of light at 7 o'clock in the right ear and 5 o'clock in the left ear with a pink and moist tympanic membrane is not a typical finding, as the tympanic membrane should be pearly gray.
B. The cone of light at 7 o'clock in the right ear and 5 o'clock in the left ear with a pearly gray tympanic membrane is the expected finding for a normal ear exam, showing the healthy tympanic membrane and the proper positioning of the cone of light.
C. The cone of light at 5 o'clock in the right ear and 7 o'clock in the left ear with a pink and moist tympanic membrane is incorrect, as the tympanic membrane should be pearly gray, not pink and moist.
D. The cone of light at 5 o'clock in the right ear and 7 o'clock in the left ear with a pearly gray tympanic membrane is an incorrect positioning of the cone of light (should be at 7 o'clock for the right ear and 5 o'clock for the left).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Confluent lesions merge together, forming a larger area of affected skin, which is not the case here.
B. Discrete lesions are separate and distinct from each other, which doesn't match the description of clusters.
C. Grouped lesions are those that appear in clusters, which fits the assessment finding.
D. Annular lesions have a ring-like appearance, typically seen in conditions like ringworm, and do not fit the description of clustered lesions.
Correct Answer is D
Explanation
A. A GCS of 15 indicates full consciousness and alertness.
B. A GCS of 12 indicates moderate impairment of consciousness.
C. A GCS of 6 indicates severe impairment, but not necessarily comatose.
D. A GCS of 8 or below is considered to indicate a comatose state.
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