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.

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

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

Whisper a series of words softly into one ear.

Answer and Explanation

The Correct Answer is B

A.   Delivering a series of high-pitched sounds at random intervals is not related to the Weber's test.
B.   Weber's test is performed by striking the tuning fork and placing it against the middle of the forehead. Ask the patient if the tone is equal in both ears. Diminution in the affected ear indicates sensorineural hearing loss.
C.   Placing an activated tuning fork on the client's mastoid process is not part of the Weber's test.
D.   Whispering a series of words softly into one ear is unrelated to the Weber's test; it's a test for assessing auditory acuity.

Nursing Test Bank

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Correct Answer is C

Explanation

A. Moving joints to the point of mild pain can cause discomfort or injury and isn't advisable during passive range-of-motion exercises.
B. Moving joints quickly might increase the risk of injury or discomfort and isn't typically recommended for passive range-of-motion exercises.
C. Repeating movements 3 to 5 times is a standard recommendation for passive range-of-motion exercises to improve joint flexibility and prevent stiffness.
D. Performing these movements once a day might not yield optimal benefits for joint mobility in clients with decreased mobility.

A. "If you work hard on your physical therapy, you won't need to worry." B. "You shouldn't worry about the future so you can concentrate on getting well." C. "You're concerned about what will happen when you leave the hospital." D. "Why are you concerned even though everyone is here to help you?"

Correct Answer is C

Explanation

A. Dismissing concerns by suggesting that they won't need to worry with physical therapy is not therapeutic. It invalidates the client's feelings.
B. Discouraging the client from worrying may seem dismissive of their emotions and concerns.
C. Acknowledging and reflecting the client's concern about the future demonstrates empathy and encourages further discussion.
D. Asking why the client is concerned might make them feel defensive and does not validate their emotions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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