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 A
Explanation
a) A gradual hearing loss that occurs with aging: Presbycusis refers to the age-related gradual decline in hearing, especially in the higher frequencies. It is a common condition that affects older adults due to changes in the inner ear or auditory nerve.
b) Tinnitus that occurs with aging: Tinnitus, which is the perception of ringing or buzzing in the ears, is different from presbycusis. While tinnitus can occur with age, it is not synonymous with presbycusis, which specifically refers to age-related hearing loss.
c) A vision loss that occurs with aging: Vision loss associated with aging is called presbyopia, not presbycusis. Presbyopia is related to the loss of near-vision accommodation, while presbycusis is a hearing loss.
d) Nystagmus that occurs with aging: Nystagmus is an involuntary eye movement that is not specifically related to aging. It can occur in various neurological conditions but is not a hallmark of presbycusis.
Correct Answer is ["A","B","C"]
Explanation
a) Avoid lifting anything heavier than 5 lb: Lifting heavy objects can increase intraocular pressure and increase the risk of complications, so this is important to include in discharge instructions.
b) Avoid bending over: Bending over may increase intraocular pressure, which could affect the healing process after cataract surgery.
c) Use stool softeners: Stool softeners are recommended to prevent straining during bowel movements, which could increase intraocular pressure and interfere with healing.
d) Sleep on the affected side: The client should avoid sleeping on the affected side to prevent pressure on the operated eye.
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