Nurse Bing prepares to perform an otoscopic examination on an adult. For proper visualization, the nurse should position the client’s ear by pulling the:
a. lobule down and forward
b. helix up and back
c. helix up and forward
d. lobule down and back
Answer D.
Tachycardia may be a sign of heart failure. Mild tachycardia is more easily detected during sleep than during the day, when activity can cause an increase in heart rate. Medications given for rheumatic fever and rheumatic heart disease, such as digoxin, exert their influence both day and night. Chorea, a symptom of rheumatic fever, is the loss of voluntary muscle control. However, it doesn’t affect pulse because the child would be sitting quietly and not involved in purposeful movement. A 10-year-old child is unlikely to be able to consciously raise or lower his heart rate.
a. lobule down and forward
b. helix up and back
c. helix up and forward
d. lobule down and back
Answer D.
Tachycardia may be a sign of heart failure. Mild tachycardia is more easily detected during sleep than during the day, when activity can cause an increase in heart rate. Medications given for rheumatic fever and rheumatic heart disease, such as digoxin, exert their influence both day and night. Chorea, a symptom of rheumatic fever, is the loss of voluntary muscle control. However, it doesn’t affect pulse because the child would be sitting quietly and not involved in purposeful movement. A 10-year-old child is unlikely to be able to consciously raise or lower his heart rate.