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.

Answer and Explanation

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).

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Correct Answer is B

Explanation

A. While electrical cords along the walls may present a tripping hazard, they are not as significant a safety concern as scatter rugs, which can cause falls.
B. Scatter rugs are a significant safety risk, especially for clients with decreased vision, as they can easily cause tripping or slipping accidents. The nurse should recommend removing these rugs to prevent falls.
C. Handrails in the bathroom provide essential support and are considered a safety feature, not a risk.
D. Using a microwave for cooking is a safe practice, especially for individuals with limited vision, as it reduces the need for handling hot surfaces and cooking equipment.

A. Intact skin with localized erythema. B. Partial-thickness skin loss with red tissue in wound bed. C. Full thickness skin loss with visible adipose tissue. D. Full thickness skin loss with visible bone

Correct Answer is B

Explanation

A. Intact skin with localized erythema: This describes a stage 1 pressure injury.
B. Partial-thickness skin loss with red tissue in wound bed: This is characteristic of stage 2 pressure injuries, where there is damage to the epidermis and partial dermis.
C. Full thickness skin loss with visible adipose tissue: This describes a stage 3 pressure injury.
D. Full thickness skin loss with visible bone: This describes a stage 4 pressure injury.

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The nurse is examining a patient's ears, which of the following findings is considered the expected findings?

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