A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?

Deliver a series of high-pitched sounds at random intervals.

Hold an activated tuning fork against the client's mastoid process.

Whisper a series of words softly into one ear.

Place an activated tuning fork in the middle of the client's forehead.

Answer and Explanation

The Correct Answer is D

Place an activated tuning fork in the middle of the client's forehead. The rationale for this answer is that Weber's test is used to assess for conductive or sensorineural hearing loss by comparing bone conduction in both ears. The nurse places an activated tuning fork in the middle of the client's forehead and asks if the sound is heard equally in both ears or louder in one ear.

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Correct Answer is D

Explanation

Arrange for an alternating pressure mattress. The rationale for this answer is that an alternating pressure mattress is a device that inflates and deflates air cells to redistribute pressure and prevent pressure ulcers. This is an effective measure to prevent skin breakdown for a client who is immobile and at risk for tissue ischemia.

A. Complete the bath even if the client is in distress B. Give detailed instructions for the client to follow. C. Allow the client to select the temperature of the bath water D. Use distractions when bathing

Correct Answer is D

Explanation

The rationale for this answer is that using distractions such as music, conversation, or toys can help reduce anxiety and agitation in clients with dementia who may resist bathing. It also helps create a positive and comfortable environment for the client.

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A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?

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Naxlex Comprehensive Predictor Exams

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Explanation

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