While inspecting the tympanic membrane the nurse notes a pearly gray and shiny appearance. What would this finding indicate?

Acute otitis media

Serous otitis media

Scarring from previous infections

Intact tympanic membrane

Answer and Explanation

The Correct Answer is D

Choice A reason: Acute otitis media shows a red, bulging tympanic membrane due to bacterial infection and pus. A pearly gray, shiny appearance contrasts this, indicating no acute inflammation or fluid, ruling out this active middle ear condition entirely.

Choice B reason: Serous otitis media presents with amber fluid behind a retracted or neutral tympanic membrane, not pearly gray and shiny. This suggests no sterile effusion, distinguishing it from the normal, healthy membrane observed in this inspection clearly.

Choice C reason: Scarring from past infections appears as white, opaque patches on the tympanic membrane, not uniform pearly gray shininess. This finding lacks the irregular, thickened look of scar tissue, pointing to an unscathed membrane instead here.

Choice D reason: A pearly gray, shiny tympanic membrane is normal, reflecting light off an intact, healthy eardrum. This lacks signs of infection or fluid, aligning with standard anatomy where the membrane’s cone of light confirms its integrity fully.

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Correct Answer is C

Explanation

Choice A reason: Thin, gray-white discharge suggests infection like bacterial vaginosis, not menopause. Menopause features dryness, not discharge, making this unrelated to hormonal decline, excluding it as a trigger for menopause education in this case fully here.
Choice B reason: Urinary difficulty may relate to aging or prolapse, not directly menopause. While estrogen loss can affect the urethra, it’s less specific than vaginal symptoms, rendering it secondary for menopause-focused education entirely and accurately here.
Choice C reason: Irregular bleeding and vaginal dryness are hallmark menopause signs, from estrogen drop. Perimenopause causes erratic periods, and dryness reflects atrophy, making this the key finding for targeted menopause education comprehensively and accurately here.
Choice D reason: Painless vaginal lumps suggest cysts or tumors, not menopause. These structural issues lack hormonal ties to estrogen decline, excluding them as menopause indicators needing education compared to bleeding and dryness fully here entirely.

A. Bell palsy B. Leukoplakia C. Nasal polyps D. Lesion of cranial nerve V

Correct Answer is C

Explanation

Choice A reason: Bell palsy affects cranial nerve VII, causing facial paralysis, not smell, which is cranial nerve I’s domain. A week of anosmia doesn’t align with this motor nerve issue, ruling it out as a cause of olfactory dysfunction here.

Choice B reason: Leukoplakia involves oral white patches, unrelated to smell, which cranial nerve I governs. It’s a mucosal condition, not nasal, missing the anatomical link to olfactory loss reported by the client over the past week entirely.

Choice C reason: Nasal polyps, benign growths in nasal passages, obstruct airflow, impairing cranial nerve I’s smell function. A week-long decrease fits this common cause, making it the priority to assess for physical blockage or inflammation in the nasal cavity accurately.

Choice D reason: Cranial nerve V (trigeminal) handles facial sensation, not smell, which is cranial nerve I’s role. A lesion here causes pain or numbness, not anosmia, excluding it as a relevant condition for this olfactory complaint specifically and fully.

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While inspecting the tympanic membrane the nurse notes a pearly gray and shiny appearance. What would this finding indicate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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