A nurse is conducting 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.

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

Whisper a series of words softly into one ear.

Answer and Explanation

The Correct Answer is C

The Weber test is a screening test for hearing performed with a tuning fork that can detect unilateral conductive hearing loss and unilateral sensorineural hearing loss.
To perform Weber’s test, strike the fork against your knee or elbow, then place the base of the fork in the midline, high on the patient’s forehead.

Choice A is wrong because delivering a series of high-pitched sounds at random intervals is not part of Weber’s test.
Choice B is wrong because holding an activated tuning fork against the client’s mastoid process is part of Rinne’s test, not Weber’s test.
Choice D is wrong because whispering a series of words softly into one ear is not part of Weber’s test.

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Correct Answer is C

Explanation

This statement indicates that the client will be provided with information about advance directives before making a decision.
Advance directives are legal documents that allow individuals to communicate their wishes for medical treatment in the event that they are unable to make decisions for themselves.
Choice A is wrong because signing advance directives is not a requirement for undergoing surgery.
Choice B is wrong because the provider does not need to sign the advance directives.
Choice D is wrong because the presence of a partner is not required when signing advance directives.

A. The client's skin on the lower back is intact without redness. B. The client states that he is able to concentrate while reading. C. The client's vital signs are within the expected reference range. D. The client is laughing at a television show.

Correct Answer is A

Explanation

This indicates that the compress has been effective in relieving lower back pain and has not caused any skin irritation or damage.
Choice B is wrong because the ability to concentrate while reading is not directly related to the effectiveness of a warm, moist compress for relieving lower back pain.
Choice C is wrong because vital signs being within the expected reference range does not necessarily indicate that the compress has been effective in relieving lower back pain.
Choice D is wrong because laughing at a television show does not necessarily indicate that the compress has been effective in relieving lower back pain.

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A nurse is conducting Weber's test on a client.

Which of the following is an appropriate action for the nurse to take?