A nurse educator is presenting at a continuing education seminar for nurses. As part of his presentation, he is emphasizing the prevention of skin breakdown in immobile patients who have suffered from a stroke. The level of prevention being discussed by the nurse educator is:

Educational Prevention

Tertiary Prevention

Secondary Prevention

Primary Prevention

Answer and Explanation

The Correct Answer is B

Choice a reason:
Educational Prevention is not a recognized level of prevention in healthcare. While education is a key component in all levels of prevention, it is not a standalone category. Education is typically included in primary prevention as it involves informing the public about health practices to prevent the onset of disease.

Choice b reason:
Tertiary Prevention is the level of prevention that aims to manage and treat an existing disease to prevent further complications or deterioration. In the case of immobile stroke patients, tertiary prevention would involve measures to prevent skin breakdown and other complications associated with immobility and the stroke's long-term effects.

Choice c reason:
Secondary Prevention involves early detection and prompt intervention to prevent the progression of a disease. For stroke patients, secondary prevention might include monitoring for signs of skin breakdown so that early treatment can be initiated. However, the scenario described focuses on managing an existing condition rather than early detection.

Choice d reason:
Primary Prevention aims to prevent the disease or injury before it occurs. This would involve strategies to prevent strokes in the first place, such as controlling high blood pressure or encouraging healthy lifestyle changes. It does not directly relate to the prevention of skin breakdown in patients who have already had a stroke.

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Correct Answer is A

Explanation

Choice A Reason:
Vertigo is a common complication associated with inner ear infections, such as labyrinthitis or vestibular neuritis. The inner ear is responsible for balance, and when it is infected, it can lead to a sensation of spinning or dizziness. Interventions may include medications like meclizine or dimenhydrinate to alleviate symptoms, as well as safety measures to prevent falls.

Choice B Reason:
Rhinorrhea, or a runny nose, is not typically a direct complication of an inner ear infection. It may be associated with upper respiratory infections that can precede or accompany an ear infection but is not a result of the inner ear infection itself.

Choice C Reason:
Fever may be present if the inner ear infection is part of a systemic infection, such as the flu or bacterial meningitis. However, fever is not a direct result of an isolated inner ear infection. If fever is present, the nurse should monitor the patient's temperature and may administer antipyretics as ordered.

Choice D Reason:
Headache can be a symptom experienced by individuals with inner ear infections due to the general discomfort and pressure changes in the ear. However, it is not as specific or as common as vertigo when it comes to inner ear infections. If headaches are present, pain management strategies can be included in the care plan.

A. Left temporal bone B. Both ears equally C. Right ear D. Left ear

Correct Answer is C

Explanation

Choice a reason:
The left temporal bone would be the expected site of lateralization for sound in a Weber test if the patient had conductive hearing loss in the left ear. However, with unilateral sensorineural hearing loss, the sound typically lateralizes to the opposite ear, which is the ear with better hearing.
Choice b reason:
Lateralization to both ears equally during the Weber test would suggest either normal hearing or symmetrical hearing loss. In the case of unilateral sensorineural hearing loss, the sound is not perceived as equal in both ears because the affected ear does not hear as well as the unaffected ear.
Choice c reason:
In a patient with unilateral sensorineural hearing loss in the left ear, the Weber test will lateralize to the right ear, which is the ear with normal hearing. This occurs because the inner ear on the affected side is not able to transmit the sound as effectively as the unaffected side, making the sound seem louder in the ear with better hearing.
Choice d reason:
Lateralization to the left ear in the Weber test would indicate conductive hearing loss in the left ear, not sensorineural hearing loss. In sensorineural hearing loss, the sound vibrates to the ear with better cochlear function, which would be the right ear in this case.

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A nurse educator is presenting at a continuing education seminar for nurses. As part of his presentation, he is emphasizing the prevention of skin breakdown in immobile patients who have suffered from a stroke. The level of prevention being discussed by the nurse educator is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When planning care for a client with an inner ear infection, the nurse will need to include interventions for which of the following potential problems?

Correct Answer is A

Explanation

A patient is diagnosed with left ear unilateral sensorineural hearing loss. During the performance of the Weber test, the nurse expects lateralization of the sound/vibration to the:

Correct Answer is C

Explanation

The nurse working in an outpatient GI clinic is conducting a physical examination of the abdomen. What is the nurse's best action to ensure she can hear bowel sounds?

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A nurse educator is presenting at a continuing education seminar for nurses. As part of his presentation, he is emphasizing the prevention of skin breakdown in immobile patients who have suffered from a stroke. The level of prevention being discussed by the nurse educator is:

A client describes a 3-week history of hoarseness. The client also reports feeling fatigue and noticeable weight gain over the past month. Which cause should the nurse consider as most likely?

What cranial nerve is responsible for the taste sensation of the posterior third of the tongue?

A client has been receiving intravenous antibiotics (ototoxic) for several weeks. Which prevention strategy would be best for the nurse to recommend for this client?