A nurse is assessing a client for conductive hearing loss.
When using the Rinne test, which of the following results should the nurse identify as an indication that the client has conductive hearing loss of the left ear?
Sound is lateralizing to the right ear.
Sound is lateralizing to the left ear.
Air conduction is greater than bone conduction in the left ear.
Air conduction is less than bone conduction in the left ear.
The Correct Answer is D
Choice A rationale
Sound lateralizing to the right ear during the Rinne test does not indicate conductive hearing loss in the left ear. This result suggests that the right ear may have better hearing or that there is an issue with the left ear, but it does not specifically diagnose conductive hearing loss.
Choice B rationale
Sound lateralizing to the left ear during the Rinne test indicates that the left ear is perceiving the sound better, which could be due to conductive hearing loss in the left ear. However, this option does not provide a definitive result for conductive hearing loss.
Choice C rationale
Air conduction being greater than bone conduction in the left ear is a normal finding and does not indicate conductive hearing loss. In conductive hearing loss, bone conduction is typically better than air conduction.
Choice D rationale
Air conduction being less than bone conduction in the left ear is indicative of conductive hearing loss. This result means that the sound is being conducted through the bones of the skull more effectively than through the air, which is a hallmark of conductive hearing loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Use of eye drops helps manage intraocular pressure but does not improve vision over time. The goal is to prevent further vision loss.
Choice B rationale
Double vision is not a common symptom of glaucoma. Glaucoma typically affects peripheral vision first.
Choice C rationale
Glaucoma is caused by increased intraocular pressure, not inadequate production of fluid within the eye.
Choice D rationale
Without treatment, glaucoma can cause blindness. It is essential to manage the condition to prevent vision loss.
Correct Answer is B
Explanation
Choice B rationale
The FLACC scale (Face, Legs, Activity, Cry, Consolability) is specifically designed for assessing pain in infants and young children who are unable to communicate their pain verbally.
Choice A rationale
The Visual Analog Scale is used for older children and adults who can understand and communicate their pain level.
Choice C rationale
The Oucher scale is used for children aged 3 to 12 years and involves matching facial expressions to a pain level.
Choice D rationale
The Faces scale is used for children aged 3 years and older who can point to a face that best represents their pain level.
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