The nurse is observing the MD performing an otoscopic examination on an adult. Which of these actions would the nurse determine is correct?

Tilt the person's head forward during the examination.

Pulling the pinna up and back before inserting the speculum.

Using the smallest speculum to decrease the amount of discomfort.

Once the speculum is in the ear, releasing the traction.

Answer and Explanation

The Correct Answer is B

A. Tilting the person's head forward is not a standard technique for performing an otoscopic examination in adults. The head is generally held still or tilted slightly backward for better visualization.
B. For adults, the correct method is to pull the pinna up and back to straighten the ear canal, allowing for a better view during the examination.
C. The smallest speculum is not typically used for adults; a larger speculum is generally preferred for optimal visualization and to reduce discomfort.
D. Traction should be maintained during the insertion of the speculum to keep the ear canal straight. Releasing traction once the speculum is inserted can lead to poor visibility and discomfort.

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Correct Answer is A

Explanation

A. A quiet, private environment is crucial for effective teaching, especially for something like wound care that requires patient focus and clear understanding. Minimizing distractions ensures the patient can concentrate on the instructions.
B. While written materials are helpful, they should not be the only method of teaching, especially for a hands-on skill like wound care. Personal, verbal instruction is necessary for proper technique.
C. Asking the roommate to be considerate may help reduce distractions, but it does not address the core issue of needing a quiet, focused environment for teaching.
D. While the home-health nurse can provide additional teaching, it is essential for the nurse to teach the patient immediately, while they are still in the hospital setting, for optimal understanding and retention of wound care procedures.

A. "I want to learn how to do this myself so I do not have to go to a rehab center." B. 1 know that I have to give myself the injections because I could get a blood clot." C. "I will try to do the exercises you described if you will give me a cookie afterward." D. "1 feel like such a failure for not consulting a podiatrist earlier about my foot." E. I do not have to learn how to do the dressing. My wife will do it for me."

Correct Answer is ["A","B"]

Explanation

A. This demonstrates acceptance of the information and a commitment to taking responsibility for their own care, which indicates that the patient is at the acceptance stage of learning.
B. This demonstrates acceptance of the information and a commitment to taking responsibility for their own care, which indicates that the patient is at the acceptance stage of learning.
C. indicates motivation based on a reward, which does not demonstrate full acceptance of the behavior.
D. reflects feelings of guilt or regret, which are more aligned with the denial or anger stage, rather than acceptance.
E. reflects a refusal to take responsibility for learning the skill, which indicates the patient is not in the acceptance stage.

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The nurse is observing the MD performing an otoscopic examination on an adult. Which of these actions would the nurse determine is correct?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is ["A","B"]

Explanation

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