The nurse plans to assess the client's hearing.
What action should the nurse take when performing the Weber's test?

The nurse will understand the unaffected ear will show lateralization to the Weber's test.

Place the activated tuning fork to the mid skull and ask if the patient can hear it louder in either ear.

Place the activated tuning fork to the patient's mastoid bone first then place over air.

Place the activated tuning fork to the client's ear over the mastoid bone then activate it again over the air.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Lateralization to the unaffected ear in Weber's test actually indicates sensorineural hearing loss in the affected ear. This choice is incorrect as it doesn’t describe the correct procedure for the test.

Choice B rationale

The Weber's test involves placing an activated tuning fork in the midline of the skull and asking the patient if the sound is heard more loudly in either ear. This helps determine if there is lateralization, which is key in diagnosing the type of hearing loss. Thus, this is the correct procedure for the test.

Choice C rationale

Placing the tuning fork on the mastoid bone and then over air is actually part of the Rinne test, not the Weber test. This choice is, therefore, incorrect for the Weber test.

Choice D rationale

Similar to Choice C, this process describes the Rinne test, which compares air conduction and bone conduction of sound. This is not the correct method for performing Weber’s test.

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Correct Answer is D

Explanation

Choice A rationale

Deep vein thrombosis (DVT) involves a blood clot in a deep vein, usually in the legs. Symptoms include swelling, pain, and redness, but not typically cold legs or hair loss, making it unlikely in this scenario.

Choice B rationale

Venous insufficiency occurs when veins struggle to send blood back to the heart, leading to varicose veins, swelling, and skin changes. While it can cause leg discomfort, it does not typically result in cold legs or hair loss.

Choice C rationale

Varicosities are enlarged, twisted veins caused by increased pressure. They can cause pain and swelling but not cold legs or hair loss, making them an unlikely cause of the described symptoms.

Choice D rationale

Arterial insufficiency, caused by poor blood flow due to narrowed arteries, results in symptoms such as cold legs, hair loss, pain, and weakened pulses. The description of cold legs and hair loss fits arterial insufficiency, making it the most likely diagnosis.

A. Glaucoma. B. Detached retina. C. Macular degeneration. D. Diabetic retinopathy.

Correct Answer is C

Explanation

Choice A rationale

Glaucoma is characterized by increased intraocular pressure that can lead to optic nerve damage and peripheral vision loss. It does not typically cause central vision loss or the presence of a large black spot in the center of vision.

Choice B rationale

A detached retina often causes the sudden appearance of floaters or flashes of light, and a shadow or curtain effect in the peripheral vision. It does not typically present as a black spot in the center of vision.

Choice C rationale

Macular degeneration is an age-related condition that affects the central part of the retina (macula). It leads to central vision loss, which can manifest as a black or dark spot in the center of vision. This condition progressively impairs the ability to see fine details and perform activities like reading or recognizing faces.

Choice D rationale

Diabetic retinopathy is a complication of diabetes that affects the blood vessels in the retina. It can cause vision changes, such as floaters or blurred vision, but it does not typically present as a large black spot in the center of vision.

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The nurse plans to assess the client's hearing.What action should the nurse take when performing the Weber's test?

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The nurse plans to assess the client's hearing.
What action should the nurse take when performing the Weber's test?