Megan Pattenaude
Quiz von , erstellt am more than 1 year ago

ch 48 Assessment and Care of Patients with Ear and Hearing Problems Quiz am ch 48 Assessment and Care of Patients with Ear and Hearing Problems, erstellt von Megan Pattenaude am 08/04/2019.

25
1
0
Megan Pattenaude
Erstellt von Megan Pattenaude vor etwa 5 Jahre
Schließen

ch 48 Assessment and Care of Patients with Ear and Hearing Problems

Frage 1 von 24

1

A nurse is teaching a client about ear hygiene and health. What client statement indicates a need for further
teaching?

Wähle eine der folgenden:

  • A soft cotton swab is alright to clean my ears with

  • I make sure my ears are dry after I go swimming

  • Keeping my diabetes under control helps my ears

Erklärung

Frage 2 von 24

1

The student nurse is performing a Weber tuning fork test. What technique is most appropriate?

Wähle eine der folgenden:

  • Holding the vibrating tuning fork 10 to 12 inches from the clients ear

  • Placing the vibrating fork in the middle of the clients head

  • Starting by placing the vibrating fork on the mastoid process

Erklärung

Frage 3 von 24

1

The clients chart indicates a sensorineural hearing loss. What assessment question does the nurse ask to determine the possible cause?

Wähle eine der folgenden:

  • Do you feel like something is in your ear?

  • Do you have frequent ear infections?

  • Have you been exposed to loud noises?

Erklärung

Frage 4 von 24

1

The nurse works with clients who have hearing problems. Which action by a client best indicates goals for an important diagnosis have been met?

Wähle eine der folgenden:

  • Babysitting the grandchildren several times a week

  • Having an adaptive hearing device for the television

  • Being active in community events and volunteer work

Erklärung

Frage 5 von 24

1

A client has external otitis. On what comfort measure does the nurse instruct the client?

Wähle eine der folgenden:

  • Applying ice four times a day

  • Instilling vinegar-and-water drops

  • Use of a heating pad to the ear

Erklärung

Frage 6 von 24

1

An older adult in the family practice clinic reports a decrease in hearing over a week. What action by the nurse is most appropriate?

Wähle eine der folgenden:

  • Assess for cerumen buildup

  • Facilitate audiological testing.

  • Perform tuning fork tests.

Erklärung

Frage 7 von 24

1

. A client had a myringotomy. The nurse provides which discharge teaching?

Wähle eine der folgenden:

  • Buy dry shampoo to use for a week.

  • Drink liquids through a straw.

  • Hot water showers will help the pain.

Erklärung

Frage 8 von 24

1

A client is going on a cruise but has had motion sickness in the past. What suggestion does the nurse make to this client?

Wähle eine der folgenden:

  • Avoid alcohol on the cruise ship.

  • Change positions slowly on the ship.

  • Try scopolamine (Transderm Scop).

Erklärung

Frage 9 von 24

1

A nurse is teaching a community group about noise-induced hearing loss. Which client who does not use ear protection should the nurse refer to an audiologist as the priority?

Wähle eine der folgenden:

  • Client with an hour car commute on the freeway each day

  • Client who rides a motorcycle to work 20 minutes each way

  • Client who is a tree-trimmer and uses a chainsaw 6 to 7 hours a day

Erklärung

Frage 10 von 24

1

A nursing student is instructed to remove a clients ear packing and instill eardrops. What action by the student requires intervention by the registered nurse?

Wähle eine der folgenden:

  • Assessing the eardrum with an otoscope

  • Inserting a cotton ball in the ear after the drops

  • Washing the hands and removing the packing

Erklärung

Frage 11 von 24

1

A nurse is irrigating a clients ear when the client becomes nauseated. What action by the nurse is most appropriate for client comfort?

Wähle eine der folgenden:

  • Have the client tilt the head back.

  • Re-position the client on the other side.

  • Stop the irrigation immediately

Erklärung

Frage 12 von 24

1

A client hospitalized for a wound infection has a blood urea nitrogen of 45 mg/dL and creatinine of 4.2 mg/dL. What action by the nurse is best? a

Wähle eine der folgenden:

  • Assess the ordered antibiotics for ototoxicity

  • Explain how kidney damage causes hearing loss

  • Use ibuprofen (Motrin) for pain control

Erklärung

Frage 13 von 24

1

A nurse is teaching a community group about preventing hearing loss. What instruction is best?

Wähle eine der folgenden:

  • Always wear a bicycle helmet.

  • Avoid swimming in ponds or lakes

  • Dont go to fireworks displays.

Erklärung

Frage 14 von 24

1

A client has severe tinnitus that cannot be treated adequately. What action by the nurse is best?

Wähle eine der folgenden:

  • Advise the client to take antianxiety medication.

  • Educate the client on nerve cutting procedures.

  • Refer the client to online or local support groups.

Erklärung

Frage 15 von 24

1

A client has labyrinthitis and is prescribed antibiotics. What instruction by the nurse is most important for this client?

Wähle eine der folgenden:

  • Immediately report headache or stiff neck

  • Keep all follow-up appointments

  • Take the antibiotics with a full glass of water.

Erklärung

Frage 16 von 24

1

A client with Menires disease is in the hospital when the client has an attack of this disorder. What action by the nurse takes priority?

Wähle eine der folgenden:

  • Assess vital signs every 15 minutes.

  • Dim or turn off lights in the clients room.

  • Place the client in bed with the upper siderails up

Erklärung

Frage 17 von 24

1

A client is scheduled to have a tumor of the middle ear removed. What teaching topic is most important for the nurse to cover?

Wähle eine der folgenden:

  • Expecting hearing loss in the affected ear

  • Managing postoperative pain

  • Maintaining NPO status prior to surgery

Erklärung

Frage 18 von 24

1

A nursing student studying the auditory system learns about the structures of the inner ear. What structures does this include?

Wähle eine oder mehr der folgenden:

  • Cochlea

  • Epitympanum

  • Organ of Corti

  • Semicircular canals

  • Vestibule

Erklärung

Frage 19 von 24

1

A client has Menires disease with frequent attacks. About what drugs does the nurse plan to teach the client?

Wähle eine oder mehr der folgenden:

  • Broad-spectrum antibiotics

  • Chlorpromazine hydrochloride (Thorazine)

  • Diphenhydramine (Benadryl)

  • Meclizine (Antivert)

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)

Erklärung

Frage 20 von 24

1

A client is scheduled for a tympanoplasty. What actions by the nurse are most appropriate?

Wähle eine oder mehr der folgenden:

  • Administer preoperative antibiotics

  • Assess for allergies to local anesthetics

  • Ensure that informed consent is on the chart

  • Give ordered antivertigo medications

  • Teach that hearing improves immediately.
    ANS: A, C Preoperatively, the nurs

Erklärung

Frage 21 von 24

1

A client has a hearing aid. What care instructions does the nurse provide the unlicensed assistive personnel (UAP) in the care of this client? (Select all that apply.

Wähle eine oder mehr der folgenden:

  • Be careful not to drop the hearing aid when handling

  • Soak the hearing aid in hot water for 20 minutes.

  • Turn the hearing aid off when the client goes to bed.

  • Use a toothpick to clean debris from the device.

  • Wash the device with soap and a small amount of warm water.

Erklärung

Frage 22 von 24

1

A hospitalized client has Mnires disease. What menu selections demonstrate good knowledge of the recommended diet for this disorder?

Wähle eine oder mehr der folgenden:

  • Chinese stir fry with vegetables

  • Broiled chicken breast

  • Chocolate espresso cookies

  • Deli turkey sandwich and chips

  • Green herbal tea with meals

Erklärung

Frage 23 von 24

1

A client is scheduled for a stapedectomy in 2 weeks. What teaching instructions are most appropriate?

Wähle eine oder mehr der folgenden:

  • Avoid alcohol use before surgery

  • Blow the nose gently if needed

  • Clean the telephone often

  • Sneeze with the mouth open

  • Wash the external ear daily

Erklärung

Frage 24 von 24

1

A client is admitted to the nursing unit after having a tympanoplasty. What activities does the nurse delegate to the unlicensed assistive personnel (UAP)?

Wähle eine oder mehr der folgenden:

  • Administer prescribed antibiotics.

  • Keep the head of the clients bed flat

  • Remind the client to lie on the operative side

  • Remove the iodoform gauze in 8 hours

  • Take and record postoperative vital signs.

Erklärung