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The nurse is performing an otoscopic examination on a client with mastoiditis. On examination of the tympanic membrane, which finding should the nurse expect to observe?

A.

A red, dull, thick, and immobile tympanic membrane.

B.

A transparent and clear tympanic membrane.

C.

A pearly colored tympanic membrane.

D.

A pink colored tympanic membrane.

Answer and Explanation

The Correct Answer is A

A. Mastoiditis often results in inflammation and infection that extend to the middle ear, causing the tympanic membrane to appear red, dull, thickened, and immobile upon examination.  

 

B. A transparent and clear tympanic membrane is typical in a healthy ear, not in cases of mastoiditis.  

 

C. A pearly colored tympanic membrane is also indicative of a normal, healthy ear without infection.  

 

D. A pink-colored tympanic membrane may suggest mild irritation but is not a characteristic finding of mastoiditis.


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View Related questions

Correct Answer is C

Explanation

A. Bradycardia is not a common finding in diabetes insipidus; rather, patients may experience tachycardia due to volume depletion.

B. Bounding peripheral pulses may occur in conditions with fluid overload, which is not typical in diabetes insipidus where there is a lack of fluid retention.

C. Urine specific gravity of 1.002 indicates dilute urine, which is consistent with diabetes insipidus, where the body fails to concentrate urine due to insufficient antidiuretic hormone (ADH).

D. Clients with diabetes insipidus typically experience polyuria, resulting in increased urine output rather than normal levels

Correct Answer is B

Explanation

A. Insufficient insulin production is related to diabetes mellitus, not Cushing's syndrome.

B. Long-term use of glucocorticoids is a well-known exogenous cause of Cushing's syndrome, as it leads to excess cortisol in the body.

C. Adrenal insufficiency refers to a deficiency of adrenal hormones and would not cause Cushing's syndrome, which is characterized by excess hormones.

D. Overproduction of growth hormones is associated with acromegaly or gigantism, not Cushing's syndrome, which primarily involves excess cortisol.

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