When performing an otoscope examination for a 2-year-old child, which of the following techniques is correct?
Tilting the patient's head forward before inserting the speculum
Pulling the pinna up and back before inserting the speculum
Once the speculum is in the ear, release the pinna
Pulling the pinna down before inserting the speculum
The Correct Answer is D
A. Tilting the head forward is not necessary for the otoscope exam.
B. Pulling the pinna up and back is used for older children and adults.
C. Releasing the pinna after inserting the speculum is unnecessary.
D. For young children under 3 years, the pinna should be pulled down and back to straighten the ear canal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A. While an eye patch may be needed for other conditions (e.g., facial paralysis), it is not a primary concern in this case.
B. Range-of-motion exercises are not related to cranial nerve IX and X impairment.
C. Avoiding warm water to wash the face is not specifically relevant to cranial nerve impairment.
D. Suction equipment should be available for clients with cranial nerve impairment, especially if they have swallowing difficulties or potential for aspiration.
Correct Answer is D
Explanation
A. Partial-thickness skin loss with red tissue in wound bed: This is a characteristic of stage 2 pressure injuries, not stage 1.
B. Full thickness skin loss with visible adipose tissue: This is a characteristic of stage 3 pressure injuries.
C. Full thickness skin loss with visible bone: This is a characteristic of stage 4 pressure injuries.
D. Intact skin with localized erythema: This is the characteristic of stage 1 pressure injuries, which present as non-blanching erythema (redness) of intact skin.
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