A parent reports their preschool-aged child often asks others to repeat statements and does not articulate common words correctly. The parents think the child has a hearing impairment due to multiple episodes of ear infections and rupture tympanic membranes. The nurse inspects the outer ear canal using an otoscope and no obstruction, inflammation, or drainage is observed. Which action is most important for the nurse to implement?
Clap behind the child's ears to assess for a reflex response to sound.
Refer the child for further evaluation and screening with audiometric testing.
Explain that preschool-agers may not respond when engaged in a task at play.
Inspect the nasal canals and oropharynx for inflammation and drainage.
The Correct Answer is B
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
No explanation
Correct Answer is A
Explanation
A.Teaching how to perform testicular self-examinations is appropriate. Cryptorchidism refers to the condition in which one or both testicles do not descend into the scrotum. Orchiopexy is a surgical procedure used to correct cryptorchidism by placing the testicle(s) into the scrotum. While the primary purpose of orchiopexy is to ensure proper testicular development and function, it's important for individuals with a history of cryptorchidism and orchiopexy to be aware of their testicular health.
Teaching how to perform testicular self-examinations is an important aspect of anticipatory guidance. This education empowers the adolescent to monitor for any changes or abnormalities in the testicles, which may include signs of testicular cancer or other issues. Early detection and prompt medical attention can lead to better outcomes.
B.Advising to avoid athletics to prevent injury is inappropriate. While avoiding injury is important, participation in athletics is generally safe after orchiopexy. This option does not directly address the specific concern related to testicular health.
C.Assessing knowledge of pubertal signs inappropriate. While assessing knowledge of pubertal signs is important, it does not directly address the adolescent's history of orchiopexy.
D. Educating about erectile dysfunction is inappropriate. Erectile dysfunction is not typically a primary concern in adolescents with a history of orchiopexy. This option does not provide relevant anticipatory guidance for this specific situation.
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