The nurse is performing an otoscopic examination on a client with acute otitis media. On examination of the tympanic membrane, which finding should the nurse expect to observe?
A red, dull, thick, and immobile tympanic membrane
A transparent and dear tympanic membrane
A pink-colored tympanic membrane
A pearly colored tympanic membrane
The Correct Answer is A
a) A red, dull, thick, and immobile tympanic membrane: In acute otitis media, the tympanic membrane typically appears red, dull, thickened, and may be immobile due to fluid and infection in the middle ear.
b) A transparent and clear tympanic membrane: This would suggest a healthy, non-infected ear, which is not expected in acute otitis media.
c) A pink-colored tympanic membrane: This is not a typical finding in acute otitis media; a pink membrane is more characteristic of a healthy ear.
d) A pearly colored tympanic membrane: A pearly color is normal for the tympanic membrane, indicating a healthy ear with no infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a) 2 weeks: It’s typically too early for fitting a prosthesis after enucleation. Healing time is required before the fitting.
b) 4 weeks: While closer, the patient will likely need a longer healing period before fitting.
c) 8 weeks: Generally, a prosthesis can be fitted around 8 weeks post-enucleation, allowing enough time for the eye socket to heal and settle.
d) 12 weeks: Although healing may take longer, 8 weeks is the most common timeframe for prosthesis fitting.
Correct Answer is C
Explanation
a) Ability to contract and relax the dilator muscle: This refers to the iris muscles, but it does not relate directly to the measurement of intraocular pressure (IOP).
b) Resistance from the ciliary bodies: The ciliary body produces aqueous humor, but IOP measures the pressure exerted by the amount of aqueous humor, not resistance from the ciliary bodies.
c) Amount of aqueous humor: IOP is determined by the balance between the production and drainage of aqueous humor within the eye.
d) Tear duct capacity: Tear duct capacity relates to tear drainage, not intraocular pressure.
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