A client presents to the clinic with complaints of otalgia and muffled sounds. The client is diagnosed with external otitis. Which of the following will the nurse not include in client teaching?
Report itching if it becomes bothersome
Use earplugs when swimming
Insert a cotton-tip applicator to remove excess wax
Use a hairdryer set to low, 6 inches away from ear
The Correct Answer is C
Choice A Reason: Reporting itching if it becomes bothersome is part of client teaching, as it may indicate inflammation or infection of the ear canal. External otitis is also known as swimmer's ear, as it can be caused by water trapped in the ear after swimming or bathing.
Choice B Reason: Using earplugs when swimming is part of client teaching, as it can prevent water from entering and irritating the ear canal. External otitis can be prevented by keeping the ear dry and avoiding trauma or foreign objects.
Choice C Reason: This is the correct choice. Inserting a cotton-tip applicator to remove excess wax is not part of client teaching, as it can damage or scratch the ear canal and increase the risk of infection. Wax helps protect and lubricate the ear canal and should not be removed unless it causes hearing impairment or discomfort.
Choice D Reason: Using a hairdryer set to low, 6 inches away from ear is part of client teaching, as it can help dry the ear canal after swimming or bathing. External otitis can be treated by applying warm compresses, using topical antibiotics or antifungals, and taking pain relievers or anti-inflammatory drugs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason: Culture is not a diagnostic test that uses an ultraviolet light source, but a laboratory test that involves growing microorganisms from a sample of body fluid or tissue. Culture can help identify the type and sensitivity of the infection-causing agent.
Choice B Reason: KOH is not a diagnostic test that uses an ultraviolet light source, but a chemical test that involves applying potassium hydroxide to a sample of skin, hair, or nail. KOH can help diagnose fungal infections by dissolving the keratin and revealing the fungal elements under a microscope.
Choice C Reason: Diascopy is not a diagnostic test that uses an ultraviolet light source, but a physical test that involves applying pressure to a lesion with a glass slide or lens. Diascopy can help differentiate between blanchable and non-blanchable lesions, such as erythema or petechiae.
Choice D Reason: Wood's is a diagnostic test that uses an ultraviolet light source, also known as a Wood's lamp or black light. Wood's can help observe color changes to the skin that are not visible under normal light, such as fluorescence or hypopigmentation. Wood's can help diagnose conditions such as tinea capitis, vitiligo, or erythrasma.
Correct Answer is D
Explanation
Choice A Reason: This is incorrect because dimming the lights in the client's room is not a helpful action for providing discharge teaching for a client who has hearing loss. Dimming the lights can reduce the visibility and clarity of the nurse's facial expressions, gestures, and lip movements, which can aid in communication.
Choice B Reason: This is incorrect because increasing the rate of speech when talking with the client is not an effective action for providing discharge teaching for a client who has hearing loss. Increasing the rate of speech can make it harder for the client to follow and understand what the nurse is saying.
Choice C Reason: This is incorrect because answering client's questions using medical terminology is not an appropriate action for providing discharge teaching for a client who has hearing loss. Medical terminology can be confusing and unfamiliar to the client, which can impair comprehension and learning.
Choice D Reason: This is the correct choice because facing the client while talking is an important action for providing discharge teaching for a client who has hearing loss. Facing the client can enhance eye contact, attention, and rapport. It can also allow the client to see the nurse's facial expressions, gestures, and lip movements, which can facilitate communication.
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