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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Encouraging active participation is essential for effective learning but is more appropriate after assessing the client’s current knowledge.
B. Determining what the client knows about constipation is the first step in the teaching process. It allows the nurse to assess the client’s baseline understanding and tailor the education accordingly.
C. Identifying shared goals is an important step in the planning phase but follows the assessment of the client’s knowledge and needs.
D. Selecting the instructional method comes later, once the nurse has assessed the client’s knowledge and learning preferences.
Correct Answer is B
Explanation
A. A darkened, quiet room may not provide an optimal learning environment as adequate lighting and ventilation are important for clarity and focus during educational sessions.
B. A well-lit, ventilated room is the ideal environment for teaching. Proper lighting helps the patient focus, and good ventilation ensures comfort during the teaching process.
C. A group room for 10 to 12 patients may be too large for effective one-on-one teaching, especially for a topic like heart failure that requires personalized instruction.
D. A private room at 85° F may be uncomfortably warm and not conducive to learning. The room temperature should be comfortable but not excessively warm.
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