The nurse explains the different parts of the ear to a client while teaching the client how to administer eardrops. The nurse pulls the upper ear that consists of movable cartilage and skin up and back and recognizes that this part is called the:

Auricle.

Mastoid process.

Outer meatus.

Concha.

Answer and Explanation

The Correct Answer is A

A. Auricle (Pinna):

The auricle, also known as the pinna, is the visible external part of the ear. It consists of movable cartilage and skin. When administering eardrops, pulling the auricle up and back helps to straighten the ear canal, allowing the drops to enter the ear effectively.

B. Mastoid Process:

The mastoid process is a bony prominence located behind the ear. It is not a part of the outer ear structure involved in administering eardrops.

C. Outer Meatus:

The outer meatus, also known as the external acoustic meatus or ear canal, is the tube-like structure leading from the auricle to the eardrum. It is the passage through which eardrops are administered. Pulling the auricle up and back helps to straighten the outer meatus for the proper administration of eardrops.

D. Concha:

The concha refers to the bowl-shaped depression next to the ear canal. While it is a part of the outer ear, pulling the concha is not a technique used for administering eardrops. The auricle, specifically, is manipulated to facilitate the process.

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Correct Answer is B

Explanation

A. Have the client breathe quickly:

This choice is incorrect because having the client breathe quickly is not a technique for assessing tactile fremitus. Tactile fremitus is assessed by feeling vibrations on the chest wall while the patient speaks, not during normal breathing.

B. Palpate the chest symmetrically:

This choice is correct. To assess tactile fremitus, the nurse places the palms or ulnar aspects of both hands firmly against the patient's chest while the patient speaks a phrase. The nurse should palpate the chest symmetrically to detect vibrations equally on both sides, which can help identify abnormalities in the lungs.

C. Ask the client to cough:

This choice is incorrect. Asking the client to cough is not a technique for assessing tactile fremitus. Tactile fremitus is evaluated by feeling vibrations while the patient speaks, not while coughing.

D. Use the bell of the stethoscope:

This choice is incorrect. Tactile fremitus is assessed by palpation, not auscultation with a stethoscope. Using the bell of the stethoscope is a technique for listening to low-pitched sounds, not for assessing tactile fremitus.

A. The eyes converge to focus on the light. B. The eye focuses the image in the center of the pupil. C. Dilation of both pupils occurs in response to bright light. D. Constriction of both pupils occurs in response to bright light.

Correct Answer is D

Explanation

A. The eyes converge to focus on the light.

This statement refers to the convergence reflex, where both eyes move medially (towards each other) to maintain single binocular vision when focusing on a near object. It is not related to the pupillary light reflex, which involves changes in pupil size in response to light.

B. The eye focuses the image in the center of the pupil.

This choice does not accurately describe the pupillary light reflex. The pupillary light reflex involves constriction of the pupil in response to light, not focusing an image in the center of the pupil.

C. Dilation of both pupils occurs in response to bright light.

This statement is incorrect. In response to bright light, the pupils should constrict, not dilate. Dilation of pupils in bright light could indicate an abnormal response, such as in cases of certain neurological conditions or drug use.

D. Constriction of both pupils occurs in response to bright light.

This choice is correct. In the pupillary light reflex, both pupils constrict when exposed to bright light. This response is a protective mechanism to prevent excessive light from entering the eyes, ensuring optimal visual acuity.

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The nurse explains the different parts of the ear to a client while teaching the client how to administer eardrops. The nurse pulls the upper ear that consists of movable cartilage and skin up and back and recognizes that this part is called the:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is examining a client for tactile fremitus. The nurse recognizes that when examining for tactile fremitus it is important to:

Correct Answer is B

Explanation

A nurse documents that the client has a normal pupillary light reflex. The nurse should recognize that this reflex indicates which of the following?

Correct Answer is D

Explanation

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