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.

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Correct Answer is A

Explanation

A. Bowel cleansing is often required prior to an intravenous pyelogram to remove fecal matter that can obscure visualization of the urinary tract. A clear field improves the accuracy of imaging and helps ensure diagnostic quality.

B. Removing metal objects is important for procedures such as MRI or X-rays of certain areas, but it is not the primary preparation specific to an intravenous pyelogram. The focus is on visualization of the urinary system using contrast.

C. Intravenous pyelogram involves the administration of contrast dye intravenously, not orally. Giving oral contrast is associated with gastrointestinal imaging studies, not urinary tract imaging.

D. Monitoring for suprapubic pain is not a routine or priority nursing action specific to this procedure. Post-procedure care focuses more on monitoring for contrast reactions and ensuring adequate hydration.

A. Prime the client's primary IV tubing with lactated Ringer's. B. Confirm the identity of the client with the blood bank technician. C. Check that the client has a small gauge IV catheter in place. D. Check the blood product's compatibility with the client's blood type.

Correct Answer is D

Explanation

A. Priming the IV tubing with lactated Ringer's isn't necessary for administering packed RBCs.
B. Confirming the client's identity with the blood bank technician is crucial but typically done before receiving the blood product.
C. Ensuring the client has a suitable IV catheter is important but isn't the priority before starting the infusion of packed RBCs.
D. Checking the blood product's compatibility with the client's blood type is critical to prevent adverse reactions before starting the infusion.

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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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Correct Answer is D

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