The nurse is performing an otoscopic examination on an adult. Which of these actions is correct?
Using the smallest speculum to decrease the amount of discomfort
Once the speculum is in the ear, releasing the traction
Tilting the person's head forward during the examination
Pulling the pinna up and back before inserting the speculum
The Correct Answer is D
A. Smallest speculum: The smallest speculum may not provide the best view of the ear canal and tympanic membrane, especially in adults. The correct size should be chosen for adequate visualization.
B. Releasing the traction: Traction should be maintained to stabilize the ear and allow a better view of the ear canal.
C. Tilting the person's head forward: This is not the ideal positioning for the ear examination. The head should be tilted slightly away to straighten the ear canal.
D. Pulling the pinna up and back: This helps straighten the ear canal, especially in adults, providing better visualization during the otoscopic examination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Blepharitis: Inflammation of the eyelid margins, typically associated with itching, burning, and crusting, but not localized pustules.
B. Dacryocystitis: Inflammation of the lacrimal sac, causing swelling near the inner canthus, not on the lid margin.
C. Chalazion: A painless lump or cyst inside the eyelid, not typically painful, red, or swollen at the lid margin.
D. Hordeolum (Stye): A stye is a localized infection of a sebaceous gland at the eyelid margin, causing pain, redness, and swelling.
Correct Answer is B
Explanation
A. Shield the lips: Shielding the lips ensures the patient is not lip-reading but should not muffle the sound.
B. Whisper random numbers and letters: The whisper test involves standing behind the patient, whispering a series of numbers and letters, and asking the patient to repeat them.
C. Occlude outside noise: Asking the patient to occlude one ear may alter test results.
D. Stand approximately 4 feet away: The whisper test is typically performed from 1-2 feet behind the patient.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
