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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
5th ICS Left MCL is the location for the apical impulse (point of maximal impulse), not Erb's Point.
Choice B rationale
Erb's Point is located at the 3rd ICS Left SB and is significant for auscultation of heart sounds, particularly the S1 and S2 sounds.
Choice C rationale
2nd ICS Left SB is the location for auscultating the pulmonic valve area.
Choice D rationale
4th ICS Left SB is where the tricuspid valve is auscultated.
Correct Answer is D
Explanation
Choice A rationale
Atrial depolarization refers to the electrical activation of the atria, which is depicted by the P wave on an ECG, not the T wave. The P wave represents the contraction phase of the atria as it pumps blood into the ventricles. Therefore, this option is incorrect for the T wave.
Choice B rationale
Atrial repolarization is the process of the atria returning to their resting state. This repolarization is generally obscured by the QRS complex on an ECG and is not associated with the T wave. Thus, this answer choice is also incorrect.
Choice C rationale
Ventricular depolarization is represented by the QRS complex on an ECG. It indicates the ventricles are contracting to pump blood to the lungs and the rest of the body. Therefore, it does not correlate with the T wave.
Choice D rationale
Ventricular repolarization is indicated by the T wave on an ECG. This phase signifies the ventricles returning to their resting state after the contraction. It is the correct answer as it accurately reflects the T wave's function.
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