what is accurate health promotion teaching to prevent ear infection or trauma select all that apply

ATI RN

Multi Dimensional Care | Final Exam

1. What is accurate health promotion teaching to prevent ear infection or trauma? (Select all that apply)

A. Blow nose gently without blocking nostrils
B. Wear hearing protection when exposed to loud noise
C. Avoid using cotton-tipped applicators to clean the external ear
D. All of the above

Correct answer: D

Rationale: The correct health promotion teachings to prevent ear infection or trauma include blowing the nose gently without blocking nostrils, wearing hearing protection when exposed to loud noise, and avoiding the use of cotton-tipped applicators to clean the external ear. Blocking one nostril when blowing the nose is incorrect, as it can cause problems. Therefore, choice A is inaccurate. Additionally, using cotton-tipped applicators to clean the external ear can lead to trauma or infection, making choice C a correct preventive measure.

2. The nurse Is teaching the client how to administer eye drops. Which of these actions indicates the need for further client education?

A. The client sets the cap down in a manner that does not contaminate it.
B. The client drops the prescribed number of drops into the conjunctival sac
C. The client washes their hands before instilling the drops
D. The client ensures that they touch the administration dropper to the eye

Correct answer: D

Rationale: Touching the dropper to the eye contaminates it and can lead to infection.

3. The nurse assesses a deep wound. The area is covered by black and necrotic tissue. What term would the nurse use when documenting this wound?

A. Tunnelling
B. Eschar
C. Blanching
D. Cellulitis

Correct answer: B

Rationale:

4. What is a sign of inadequate perfusion?

A. Intact sensation
B. Pallor in toes
C. Bounding pulses
D. Pink fingers

Correct answer: B

Rationale:

5. What is correct about a nursing diagnosis?

A. It is a human response to disease, injury, or other stressors.
B. It remains constant as long as the disease is present.
C. It is a way to identify pathology.
D. It is a disease, illness, or injury.

Correct answer: A

Rationale: A nursing diagnosis is a clinical judgment about individual, family, or community responses to actual or potential health problems or life processes. Choice A is correct because it identifies nursing diagnosis as related to human responses to health conditions or life processes. Choice B is incorrect because nursing diagnoses can change as the patient's condition changes. Choice C is incorrect because a nursing diagnosis is about responses, not just identifying pathology. Choice D is incorrect because a nursing diagnosis is not the same as a disease, illness, or injury; it is a statement about the patient's response to these conditions.