Which statement best describes the scientific rationale for the nurse holding the otoscope with the hand in a pencil-hold position when examining the client's ear?

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Question 1 of 5

Which statement best describes the scientific rationale for the nurse holding the otoscope with the hand in a pencil-hold position when examining the client's ear?

Correct Answer: C

Rationale: The pencil-hold position allows controlled insertion, preventing the otoscope from going too deep and risking injury to the ear canal or tympanic membrane.

Question 2 of 5

The client is admitted to rule out Cushing's syndrome. Which laboratory tests should the nurse anticipate being ordered?

Correct Answer: B

Rationale: Cushing's involves excess cortisol; ACTH and cortisol levels help diagnose the cause (pituitary, adrenal, or ectopic).

Question 3 of 5

Which laboratory data indicate to the nurse the client's pancreatitis is improving?

Correct Answer: A

Rationale: Amylase and lipase are specific markers of pancreatic inflammation; their decrease indicates improvement.

Question 4 of 5

A client in ventricular fibrillation is about to be defibrillated. To convert this rhythm effectively, the monophasic defibrillator machine should be set at which energy level (in joules, J) for the first delivery?

Correct Answer: C

Rationale: Guidelines recommend 200 J for the first monophasic defibrillation attempt in VF.

Question 5 of 5

The nurse is caring for a client admitted to the emergency department with diabetic ketoacidosis (DKA). In the acute phase, the nurse plans for which priority intervention?

Correct Answer: D

Rationale: In acute DKA, administering IV short-acting insulin is the priority to halt ketogenesis and lower glucose, addressing the underlying cause, followed by fluid replacement and monitoring.

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