The nurse should report which assessment finding immediately to ...

[altibaby]

The nurse should report which assessment finding immediately to the health care provider?
 
  a. The tympanum is blue-tinged.
  b. There is a cone of light visible.
  c. Cerumen is present in the auditory canal.
  d. The skin in the ear canal is dry and scaly.

Question 2

The charge nurse must intervene immediately if observing a nurse who is caring for a patient with vestibular disease
 
  a. speaking slowly to the patient.
  b. facing the patient directly when speaking.
  c. encouraging the patient to ambulate independently.
  d. administering Rinne and Weber tests to the patient.

[Anna]

Answer to Question 1

ANS: A
A bluish-tinged tympanum can occur with acute otitis media, which requires immediate care to prevent perforation of the tympanum. Cerumen in the ear canal may need to be removed before proceeding with the examination but is not unusual or pathologic. The presence of a cone of light on the eardrum is normal. Dry and scaly skin in the ear canal may need further assessment but does not require urgent care.

Answer to Question 2

ANS: C
Vestibular disease affects balance, so the nurse should monitor the patient during activities that require balance. The other actions might be used for patients with hearing disorders.

[altibaby]

Excellent

[JaynaD87]

TYSM