The nurse plans to assess the client's hearing.
What action should the nurse take when performing the Weber's test?
The nurse will understand the unaffected ear will show lateralization to the Weber's test.
Place the activated tuning fork to the mid skull and ask if the patient can hear it louder in either ear.
Place the activated tuning fork to the patient's mastoid bone first then place over air.
Place the activated tuning fork to the client's ear over the mastoid bone then activate it again over the air.
The Correct Answer is B
Choice A rationale
Lateralization to the unaffected ear in Weber's test actually indicates sensorineural hearing loss in the affected ear. This choice is incorrect as it doesn’t describe the correct procedure for the test.
Choice B rationale
The Weber's test involves placing an activated tuning fork in the midline of the skull and asking the patient if the sound is heard more loudly in either ear. This helps determine if there is lateralization, which is key in diagnosing the type of hearing loss. Thus, this is the correct procedure for the test.
Choice C rationale
Placing the tuning fork on the mastoid bone and then over air is actually part of the Rinne test, not the Weber test. This choice is, therefore, incorrect for the Weber test.
Choice D rationale
Similar to Choice C, this process describes the Rinne test, which compares air conduction and bone conduction of sound. This is not the correct method for performing Weber’s test.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Atrial depolarization is represented by the P wave on an ECG, not the QRS wave. This phase involves the electrical activation and contraction of the atria, which precedes ventricular contraction.
Choice B rationale
Ventricular repolarization is represented by the T wave, not the QRS complex. The T wave signifies the ventricles returning to their resting state.
Choice C rationale
Atrial repolarization generally occurs during the QRS complex, but it is not represented by it. The electrical activity of atrial repolarization is masked by the more significant ventricular depolarization signal of the QRS complex.
Choice D rationale
The QRS complex on an ECG represents ventricular depolarization, which is the electrical activation leading to the contraction of the ventricles. This is the correct answer as it accurately describes the QRS wave’s significance. .
Correct Answer is B
Explanation
Choice A rationale
Alcohol consumption, obesity, diabetes, stress, and high cholesterol are all significant risk factors for heart disease. However, smoking is not listed in this choice. Smoking is a major risk factor for heart disease as it damages the lining of the arteries, leads to the build-up of fatty deposits (atherosclerosis), and increases the risk of heart attacks and strokes.
Choice B rationale
Smoking, hypertension, obesity, diabetes, and high cholesterol are all major risk factors for heart disease. Smoking contributes to the development of atherosclerosis and increases the risk of heart attacks. Hypertension, or high blood pressure, strains the heart and blood vessels, increasing the risk of heart disease. Obesity is linked to multiple risk factors, including high cholesterol, diabetes, and hypertension. Diabetes can cause damage to blood vessels and increase the risk of cardiovascular complications. High cholesterol contributes to the formation of plaques in the arteries, leading to atherosclerosis.
Choice C rationale
Personality type is not a major risk factor for heart disease. Although certain personality traits, such as Type A behavior (characterized by competitiveness, urgency, and hostility), have been associated with increased stress and a higher risk of cardiovascular events, they are not considered primary risk factors. High cholesterol, diabetes, and smoking are significant risk factors, but this choice does not include hypertension or obesity, which are also crucial risk factors for heart disease.
Choice D rationale
Family history, hypertension, stress, and age are important risk factors for heart disease, but this choice does not include some key factors such as smoking, obesity, or diabetes. Family history of heart disease can indicate a genetic predisposition to cardiovascular conditions. Hypertension and stress contribute to cardiovascular risk, and age is a non-modifiable risk factor as the risk of heart disease increases with age. However, the absence of smoking, obesity, and diabetes makes this choice less comprehensive in assessing heart disease risk factors. .
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