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 B

Explanation

A. Enlarged lymph nodes are associated with hypertensive heart disease is not a correct association. Hypertension does not directly cause lymph node enlargement.
B. They are most likely enlarged as a result of the throat infection is the correct answer. Enlarged lymph nodes, especially under the jaw, are commonly seen in response to infections, particularly in the throat (such as a viral or bacterial infection like pharyngitis).
C. You should probably see an oncologist to rule out lymphedema is an unnecessary response at this time. Lymphedema usually presents with other symptoms, and the patient's symptoms (fever, sore throat, and localized lymph node enlargement) suggest an infection rather than cancer.
D. You probably have a blockage in the thoracic lymph duct is not a common cause of localized lymph node enlargement. Blockages in the thoracic duct would affect lymphatic flow more generally and would present with more systemic symptoms.

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

The patient presents with fever for the last few days, sore throat and enlarged lymph nodes under the jaw. What is the appropriate response of the nurse when the patient asks about the cause of the enlarged lymph nodes?

Correct Answer is B

Explanation

Which statements demonstrate that the patient is at the acceptance stage of learning? Select the 2 correct answers.(Select All that Apply.)

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

Explanation

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