To assess the tympanic membrane mobility, which instrument is most appropriate for the nurse to use?
Audiometer
Ophthalmoscope
Pneumatic otoscope
Tuning fork
The Correct Answer is C
A. An audiometer is used to assess hearing ability and is not appropriate for examining the tympanic membrane.
B. An ophthalmoscope is used to examine the interior of the eye and cannot assess tympanic membrane mobility.
C. A pneumatic otoscope is specifically designed for examining the tympanic membrane and allows for assessment of its mobility by using air pressure.
D. A tuning fork is used to evaluate hearing and vibration sense, not tympanic membrane mobility.
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Correct Answer is D
Explanation
A. Providing a safe and comfortable environment and applying critical thinking involves both objective and subjective data collection, not just one type.
B. While family members can contribute to patient care, the professional responsibilities of providing a safe environment and critical thinking in assessments fall to trained healthcare providers.
C. This process encompasses both subjective and objective data, as critical thinking requires integrating multiple types of information.
D. The actions described are essential professional responsibilities of trained healthcare providers, who must ensure a safe environment, apply critical thinking, and identify patient cues effectively.
Correct Answer is D
Explanation
A. The iliac pulse is located near the pelvis and is not used for assessing circulation in the lower extremities.
B. The femoral pulse is located in the upper thigh, not near the posterior tibial area.
C. The popliteal pulse is found at the back of the knee and is higher than the posterior tibial location.
D. The posterior tibial pulse is correctly located behind the medial malleolus on the inner side of the ankle. This location is where the posterior tibial artery is accessible and is commonly used to assess blood flow to the lower extremities.