In performing an examination of a 3-year-old child with a ...

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In performing an examination of a 3-year-old child with a suspected ear infection, the nurse would:
 
  a. Omit the otoscopic examination if the child has a fever.
  b. Pull the ear up and back before inserting the speculum.
  c. Ask the mother to leave the room while examining the child.
  d. Perform the otoscopic examination at the end of the assessment.

Question 2

In performing a voice test to assess hearing, which of these actions would the nurse perform?
 
  a. Shield the lips so that the sound is muffled.
  b. Whisper a set of random numbers and letters, and then ask the patient to repeat them.
  c. Ask the patient to place his finger in his ear to occlude outside noise.
  d. Stand approximately 4 feet away to ensure that the patient can really hear at this distance.

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Answer to Question 1

ANS: D
In addition to its place in the complete examination, eardrum assessment is mandatory for any infant or child requiring care for an illness or fever. For the infant or young child, the timing of the otoscopic examination is best toward the end of the complete examination.

Answer to Question 2

ANS: B
With the head 30 to 60 cm (1 to 2 feet) from the patient's ear, the examiner exhales and slowly whispers a set of random numbers and letters, such as 5, B, 6. Normally, the patient is asked to repeat each number and letter correctly after hearing the examiner say them.

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