Test Taking Strategy Focus on the subject examining the ear of an adult client

Test taking strategy focus on the subject examining

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° Test-Taking Strategy: Focus on the subject, examining the ear of an adult client with an otoscope. Visualize the descriptions in each of the options to direct you to the correct option. Review: the procedure for using an otoscope . ° Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered collaborative care (6th ed., p. 1115). St. Louis: Saunders. ° Cognitive Ability: Applying ° Client Needs: Health Promotion and Maintenance ° Integrated Process: Nursing Process/Assessment ° Content Area: Health Assessment/Physical Exam ° Priority Concepts: Clinical Judgment, Sensory Perception ° HESI Concepts: Clinical Decision-Making/Clinical Judgment, Sensory/Perception Awarded 1.0 points out of 1.0 possible points. ° 26. ID: 8482583517 A nurse is performing a voice test. To carry out this procedure correctly, the nurse asks the client to repeat which kind of words? Spoken in a soft tone of voice by the nurse about 5 feet in front of the client Whispered by the nurse from the client's side at a distance of 1 to 2 feet from the ear being tested Correct Spoken by the nurse from the client's side in a normal tone of voice about 10 feet from the ear being tested Whispered at a distance of 20 feet by the nurse while he or she is standing in front of the client ° Rationale: In performing the voice test, the nurse tests one ear at a time while masking hearing in the other ear to prevent transmission around the head. The nurse shields his or her lips so that the client cannot compensate for hearing loss (consciously or unconsciously) by lip-reading or using the “good” ear. The nurse stands 1 to 2 feet from the client’s ear, exhales, and slowly whispers some two-syllable words. A client with normal hearing repeats each word correctly. ° Test-Taking Strategy: Visualize each option. Eliminate the options that indicate that the nurse must stand in front of the client; if the nurse did this, the client would be able to lip-read. To select from the remaining options, note the words “about 10 feet”; this will help you eliminate this option. Review: the procedure for the voice test . ° Reference: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered collaborative care (6th ed., pp. 1115-1116). St. Louis: Saunders. ° Cognitive Ability: Applying ° Client Needs: Health Promotion and Maintenance ° Integrated Process: Nursing Process/Assessment ° Content Area: Health Assessment/Physical Exam ° Priority Concepts: Clinical Judgment, Sensory Perception ° HESI Concepts: Clinical Decision-Making/Clinical Judgment, Sensory/Perception Awarded 1.0 points out of 1.0 possible points. ° 27. ID: 8482580604 A nurse is preparing to perform a Rinne test on a client who complains of hearing loss. In which area does the nurse first place an activated tuning fork?
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