Author Question: A nurse is assessing a patient's hearing. Which of the following items does the nurse gather before ... (Read 59 times)

frankwu · **on:** Jul 23, 2018

A nurse is assessing a patient's hearing. Which of the following items does the nurse gather before conducting the assessment? (Select all that apply.)

a. Tuning fork
b. Ophthalmoscope
c. Cotton-tipped applicator
d. Current list of medications
e. Snellen chart

Question 2

The patient has had a stroke that has affected her ability to speak, and she becomes extremely frustrated when she tries to speak. She responds correctly to questions and instructions but cannot form words coherently.

This patient is showing signs of _____ aphasia.
a. Expressive
b. Receptive
c. Sensory
d. Combination

owenfalvey · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A, D
The nurse uses a tuning fork when conducting the Weber test to assess lateralization of sound and the Rinne test to assess air and bone conductiontwo tests used to assess hearing. A current list of patient medications is needed to determine whether the patient is taking any medications, such as antibiotics, that could possibly cause ototoxicity. Cotton-tipped applicators are not used during an ear examination; instead they are sometimes used to assess the patient's ability to distinguish sharp from dull sensations. Ophthalmoscopes and Snellen charts are used during a visual examination.

Answer to Question 2

ANS: A
The two types of aphasia are sensory (or receptive) and motor (or expressive). The patient cannot express herself in words and is showing signs of expressive aphasia. She responds correctly to questions and instructions, indicating that she does not have receptive or sensory aphasia. Patients sometimes suffer a combination of receptive and expressive aphasia, but this is not the case here.