The nurse is performing an otoscopic examination on a client with acute otitis media. On examination of the tympanic membrane, which finding should the nurse expect to observe?
A red, dull, thick, and immobile tympanic membrane
A transparent and dear tympanic membrane
A pink-colored tympanic membrane
A pearly colored tympanic membrane
The Correct Answer is A
a) A red, dull, thick, and immobile tympanic membrane: In acute otitis media, the tympanic membrane typically appears red, dull, thickened, and may be immobile due to fluid and infection in the middle ear.
b) A transparent and clear tympanic membrane: This would suggest a healthy, non-infected ear, which is not expected in acute otitis media.
c) A pink-colored tympanic membrane: This is not a typical finding in acute otitis media; a pink membrane is more characteristic of a healthy ear.
d) A pearly colored tympanic membrane: A pearly color is normal for the tympanic membrane, indicating a healthy ear with no infection.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a) "Open-angle glaucoma is the kind that develops slowly." This statement is accurate, as open-angle glaucoma progresses gradually without noticeable symptoms, leading to irreversible damage over time.
b) "Closed-angle glaucoma is the one that suddenly develops." Closed-angle glaucoma is typically acute and presents suddenly with symptoms like severe eye pain, nausea, and vomiting.
c) "Glaucoma can be cured by taking eye drops for 2 weeks." Glaucoma is a chronic condition that cannot be cured by eye drops, and long-term management with medication or surgical intervention is required to control intraocular pressure.
d) "Glaucoma is an eye disorder that develops because the pressure inside your eyeball is too high." Glaucoma is primarily caused by increased intraocular pressure, which can damage the optic nerve.
Correct Answer is D
Explanation
a) Encourage ambulation: This is not recommended during an active episode of labyrinthitis, as it may worsen dizziness and balance problems.
b) Monitor client's cardinal fields of vision: This is not a primary concern for labyrinthitis. The focus should be on managing dizziness and vertigo.
c) Ensure the room is brightly lit: This is incorrect. A brightly lit room can make dizziness and vertigo worse. A dimly lit, quiet environment is better for clients experiencing these symptoms.
d) Limit fluid intake. While hydration is generally important, excessive fluid intake can exacerbate dizziness and vertigo in clients with labyrinthitis. Therefore, fluid intake should be monitored and adjusted accordingly.
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