NURS 612: EXAM #1 QUESTIONS WITH CORRECT ANSWERS

NURS 612: EXAM #1 QUESTIONS WITH CORRECT ANSWERS Palpation of external ear - Answer-should be firm, mobile, without nodules no pain present when gently pulled How to use otoscope - Answer-1. have client sit with back straight and head tilted slightly away from you towards opposite shoulder 2. Choose largest speculum that fits comfortably in ear, normally 5mm in adults, attach to otoscope, hold in dominant hand and turn it on 3. Use thumb and fingers of opposite hand to Grasp the client's auricle. Pull out, up and back to straight the EAC. Don't alter this position during exam. 4. Grasp hand of otoscope between thumb and fingers and hold instrument up or down. 5. Position hand holding otoscope against clients head or face. Position prevents force full insertion of otoscope and steadies your hand. 6. Insert the speculum gently down and forward into ear canal (approximately 0.5 inches). As you insert otoscope, be careful not to touch either side of inner portion of the canal wall. This area is sensitive. 7. Move head closer to otoscope and look through lens. Hearing is what cranial nerve? - Answer-VIII Whisper test - Answer-close one ear and whisper from arm's length away and have patient repeat a whispered word whisper on opposite side of plugged ear Weber test - Answer-Test done by placing the stem of a vibrating tuning fork on the midline of the head and having the patient indicate in which ear the tone can be heard. Weber test is used to test what - Answer-Lateralization (should be equal) Rinne test - Answer-hearing acuity test performed with a vibrating tuning fork that is first placed on the mastoid process and then in front of the external auditory canal to test bone and air conduction Rinne test is used to test what - Answer-Conductive hearing loss, air conduction should be twice as long as bone conduction (ACBC) Otitis Externa (Swimmer's Ear) - Answer-itching in ear canal, intense pain with movement and chewing, watery and then purulent discharge, foul-smelling, canal is red, and tympanic membrane is obscured Otiitis Media with effusion - Answer-no discharge, sticking or cracking with yawning or swallowing, feeling of fullness, fluid filled middle ear, tympanic membrane is bulging, may have bubbles