An 82-year-old client reports to the ambulatory care clinic with ...

[Kikoku]

An 82-year-old client reports to the ambulatory care clinic with complaints relating to distortions in hearing acuity. The assessment reveals an accumulation of cerumen in both ears. The nurse assists the physician to remove the cerumen.
 
  As the nurse provides discharge instructions, the client asks about methods to remove the cerumen at home next time. What information should be provided to the client?
  A) The use of a cotton-tipped swab daily will be beneficial in preventing the buildup of cerumen.
  B) The client should use a bulb syringe to instill 15 cc of rubbing alcohol into the ear canal to remove cerumen weekly.
  C) The client should be encouraged to invest in a curette to remove the cerumen at home.
  D) The client should be advised to seek medical assistance to remove the cerumen when buildup is noted.

Question 2

An older patient who is having difficulty breathing and is wheezing is scheduled for a test to differentiate the health problem as being asthma or chronic obstructive pulmonary disease (COPD).
 
  For which diagnostic test should the nurse prepare the patient? 1. Chest x-ray
  2. Electrocardiogram
  3. Complete blood count
  4. Pulmonary function tests

[raenoj]

Answer to Question 1

D

Answer to Question 2

4
Rationale: A chest x-ray will give information related to the pulmonary condition but will not differentiate asthma from COPD.