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Which instrument should the practical nurse (PN) obtain for the Advanced Practice Registered Nurse (APRN) who is preparing to conduct a Weber test?

A.

Reflex hammer.

B.

Tuning fork.

C.

DinamapR.

D.

Doppler.

Answer and Explanation

The Correct Answer is B

A. Reflex hammer: A reflex hammer is used to assess deep tendon reflexes and is not needed for hearing tests like the Weber test.

B. Tuning fork: The Weber test evaluates bone conduction of sound to detect unilateral hearing loss. A tuning fork is the appropriate instrument to perform this test.

C. DinamapR: This device measures blood pressure and has no application in conducting auditory assessments such as the Weber test.

D. Doppler: A Doppler device is used to assess blood flow and pulses, not for auditory testing, and would not be useful in performing the Weber test.


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Related Questions

Correct Answer is D

Explanation

A. Short interval pregnancy: Closely spaced pregnancies can increase the risk of certain complications, such as preterm birth or low birth weight, but they are not directly linked to neural tube defects like spina bifida occulta.

B. Preeclampsia: Preeclampsia affects maternal blood pressure and can lead to complications such as growth restriction or placental insufficiency, but it does not have a direct causal relationship with neural tube defects.

C. Tobacco use: Maternal smoking is associated with risks such as low birth weight, preterm birth, and respiratory complications, but it does not significantly influence the formation of the neural tube.

D. Folic acid deficiency: Inadequate maternal folic acid intake before conception and during early pregnancy is strongly associated with neural tube defects, including spina bifida. Ensuring sufficient folic acid is the most critical maternal factor impacting this newborn complication.

Correct Answer is A

Explanation

A. Blood pressure: A large amount of sanguineous drainage may indicate active bleeding. Assessing blood pressure first helps determine if the client is becoming hemodynamically unstable, as hypotension can signal significant blood loss requiring immediate intervention.

B. Temperature: Monitoring temperature is important for detecting infection, but it is not the immediate concern when active bleeding is suspected. Infection develops over time, whereas hemorrhage poses an immediate risk to life.

C. Pain scale: Assessing pain is part of routine postoperative care, but it does not provide critical information about potential blood loss or circulatory compromise, which must be addressed first.

D. Bowel sounds: Checking bowel sounds evaluates gastrointestinal recovery, which is not a priority when there is evidence of possible hemorrhage. Assessing vital signs, especially blood pressure, takes precedence in identifying acute complications.

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