When performing an otoscope examination for a 2-year-old child, which of the following techniques is correct?
Tilting the patient's head forward before inserting the speculum
Pulling the pinna up and back before inserting the speculum
Once the speculum is in the ear, release the pinna
Pulling the pinna down before inserting the speculum
The Correct Answer is D
A. Tilting the head forward is not necessary for the otoscope exam.
B. Pulling the pinna up and back is used for older children and adults.
C. Releasing the pinna after inserting the speculum is unnecessary.
D. For young children under 3 years, the pinna should be pulled down and back to straighten the ear canal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Ask the client to identify scented aromas: This assesses cranial nerve I (olfactory), not cranial nerve II.
B. Listen to the client's speech: This assesses cranial nerve IX and X (glossopharyngeal and vagus), not cranial nerve II.
C. Ask the client to clench his teeth: This assesses cranial nerve V (trigeminal), not cranial nerve II.
D. Ask the client to read a Snellen chart: This is the correct method for assessing cranial nerve II (optic), which is responsible for vision. The Snellen chart tests visual acuity.
Correct Answer is B
Explanation
A. Electrical cords along the walls are not a major safety hazard for individuals with visual impairments as long as they are properly secured and out of the way.
B. Scatter rugs in the kitchen can be a significant risk for falls, especially for individuals with decreased vision. Rugs can cause tripping, and if not secured properly, they can be dangerous in areas with high foot traffic like the kitchen.
C. Handrails in the bathroom are actually a safety feature and would help prevent falls in an area with higher risk of slips.
D. Using a microwave for cooking is a safe alternative to using a stove or oven, especially for someone with visual impairment. It is less hazardous since there is no open flame.
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