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ljb99 ljb99
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6 years ago
The nurse is preparing to use an otoscope for an examination. Which statement is true regarding the otoscope? The otoscope:
 
  a. Is often used to direct light onto the sinuses.
  b. Uses a short, broad speculum to help visualize the ear.
  c. Is used to examine the structures of the internal ear.
  d. Directs light into the ear canal and onto the tympanic membrane.

Question 2

The nurse will use which technique of assessment to determine the presence of crepitus, swelling, and pulsations?
 
  a. Palpation
  b. Inspection
  c. Percussion
  d. Auscultation

Question 3

Before auscultating the abdomen for the presence of bowel sounds on a patient, the nurse should:
 
  a. Warm the endpiece of the stethoscope by placing it in warm water.
  b. Leave the gown on the patient to ensure that he or she does not get chilled during the examination.
  c. Ensure that the bell side of the stethoscope is turned to the on position.
  d. Check the temperature of the room, and offer blankets to the patient if he or she feels cold.

Question 4

The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the diaphragm of the stethoscope? The diaphragm:
 
  a. Is used to listen for high-pitched sounds.
  b. Is used to listen for low-pitched sounds.
  c. Should be lightly held against the person's skin to block out low-pitched sounds.
  d. Should be lightly held against the person's skin to listen for extra heart sounds and murmurs.

Question 5

The nurse is teaching a class on basic assessment skills. Which of these statements is true regarding the stethoscope and its use?
 
  a. Slope of the earpieces should point posteriorly (toward the occiput).
  b. Although the stethoscope does not magnify sound, it does block out extraneous room noise.
  c. Fit and quality of the stethoscope are not as important as its ability to magnify sound.
  d. Ideal tubing length should be 22 inches to dampen the distortion of sound.
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Replies
wrote...
6 years ago
The answer to question 1

ANS: D
The otoscope directs light into the ear canal and onto the tympanic membrane that divides the external and middle ear. A short, broad speculum is used to visualize the nares.

The answer to question 2

ANS: A
Palpation applies the sense of touch to assess texture, temperature, moisture, organ location and size, as well as any swelling, vibration or pulsation, rigidity or spasticity, crepitation, presence of lumps or masses, and the presence of tenderness or pain.

The answer to question 3

ANS: D
The examination room should be warm. If the patient shivers, then the involuntary muscle contractions can make it difficult to hear the underlying sounds. The end of the stethoscope should be warmed between the examiner's hands, not with water. The nurse should never listen through a gown. The diaphragm of the stethoscope should be used to auscultate for bowel sounds.

The answer to question 4

ANS: A
The diaphragm of the stethoscope is best for listening to high-pitched sounds such as breath, bowel, and normal heart sounds. It should be firmly held against the person's skin, firmly enough to leave a ring. The bell of the stethoscope is best for soft, low-pitched sounds such as extra heart sounds or murmurs.

The answer to question 5

ANS: B
The stethoscope does not magnify sound, but it does block out extraneous room sounds. The slope of the earpieces should point forward toward the examiner's nose. Long tubing will distort sound. The fit and quality of the stethoscope are both important.
ljb99 Author
wrote...
6 years ago
Thank you so much for the answer
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