The client is undergoing a tuning fork test to assess for hearing conduction. The nurse performs a Rinne test. How will this test be performed?
Have the client close their eyes, lightly rub fingers together 12 inches away from the ear, and have the client identify which side the sound is heard.
First, place the tuning fork on the mastoid process behind the ear. When the client states the sound is no longer heard, place the tuning fork beside the ear.
Strike the tuning fork and place it in the center of the skull.
Stand three feet away and have the client repeat back what you have whispered.
The Correct Answer is B
In the Rinne test, the nurse first places a tuning fork on the mastoid process behind the ear, and when the client states that the sound is no longer heard, the tuning fork is placed beside the ear. This test is done to compare bone conduction with air conduction. When sound is no longer heard via bone conduction, the sound will still be heard via air conduction.
Choice A is incorrect because it describes the Weber test, not the Rinne test.
Choice C is incorrect because it is not a standard hearing test.
Choice D is incorrect because it describes the Whisper test, which is also used to test for hearing loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A warm sensation. The most common sensation experienced when a contrast agent is injected into the body during diagnostic studies is a warm sensation, as the contrast agent causes a temporary increase in blood flow to the injected area.
Option B, Light-headedness, is not the most common sensation experienced during diagnostic studies with contrast agents.
Option C, Heart palpitations, are not common sensations experienced during diagnostic studies with contrast agents.
Option D, Chills, are not common sensations experienced during diagnostic studies with contrast agents.
Correct Answer is B
Explanation
Provide the client with warm fluids. Shivering is the body's natural response to try to warm itself up. Providing warm fluids to the client can help to increase the client's core temperature and decrease shivering.
Choice A is incorrect because a hypothermia blanket is used to reduce the client's core temperature, which is not appropriate for a client who is shivering.
Choice C is incorrect because a light blanket may not provide enough warmth for the client who is shivering.
Choice D is incorrect because the room temperature should be kept warm to prevent the client from getting colder and shivering more.
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