17642278
Descripción
Test por Megan Pattenaude, actualizado hace más de 1 año
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Creado por Megan Pattenaude
hace alrededor de 5 años
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Pregunta 1
Pregunta
A nurse is teaching a client about ear hygiene and health. What client statement indicates a need for further
teaching?
Respuesta
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A soft cotton swab is alright to clean my ears with
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I make sure my ears are dry after I go swimming
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Keeping my diabetes under control helps my ears
Pregunta 2
Pregunta
The student nurse is performing a Weber tuning fork test. What technique is most appropriate?
Respuesta
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Holding the vibrating tuning fork 10 to 12 inches from the clients ear
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Placing the vibrating fork in the middle of the clients head
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Starting by placing the vibrating fork on the mastoid process
Pregunta 3
Pregunta
The clients chart indicates a sensorineural hearing loss. What assessment question does the nurse ask to determine the possible cause?
Respuesta
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Do you feel like something is in your ear?
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Do you have frequent ear infections?
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Have you been exposed to loud noises?
Pregunta 4
Pregunta
The nurse works with clients who have hearing problems. Which action by a client best indicates goals for an important diagnosis have been met?
Respuesta
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Babysitting the grandchildren several times a week
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Having an adaptive hearing device for the television
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Being active in community events and volunteer work
Pregunta 5
Pregunta
A client has external otitis. On what comfort measure does the nurse instruct the client?
Respuesta
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Applying ice four times a day
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Instilling vinegar-and-water drops
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Use of a heating pad to the ear
Pregunta 6
Pregunta
An older adult in the family practice clinic reports a decrease in hearing over a week. What action by the nurse is most appropriate?
Respuesta
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Assess for cerumen buildup
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Facilitate audiological testing.
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Perform tuning fork tests.
Pregunta 7
Pregunta
. A client had a myringotomy. The nurse provides which discharge teaching?
Respuesta
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Buy dry shampoo to use for a week.
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Drink liquids through a straw.
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Hot water showers will help the pain.
Pregunta 8
Pregunta
A client is going on a cruise but has had motion sickness in the past. What suggestion does the nurse make to this client?
Respuesta
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Avoid alcohol on the cruise ship.
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Change positions slowly on the ship.
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Try scopolamine (Transderm Scop).
Pregunta 9
Pregunta
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?
Respuesta
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Client with an hour car commute on the freeway each day
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Client who rides a motorcycle to work 20 minutes each way
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Client who is a tree-trimmer and uses a chainsaw 6 to 7 hours a day
Pregunta 10
Pregunta
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?
Respuesta
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Assessing the eardrum with an otoscope
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Inserting a cotton ball in the ear after the drops
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Washing the hands and removing the packing
Pregunta 11
Pregunta
A nurse is irrigating a clients ear when the client becomes nauseated. What action by the nurse is most appropriate for client comfort?
Respuesta
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Have the client tilt the head back.
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Re-position the client on the other side.
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Stop the irrigation immediately
Pregunta 12
Pregunta
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
Respuesta
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Assess the ordered antibiotics for ototoxicity
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Explain how kidney damage causes hearing loss
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Use ibuprofen (Motrin) for pain control
Pregunta 13
Pregunta
A nurse is teaching a community group about preventing hearing loss. What instruction is best?
Respuesta
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Always wear a bicycle helmet.
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Avoid swimming in ponds or lakes
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Dont go to fireworks displays.
Pregunta 14
Pregunta
A client has severe tinnitus that cannot be treated adequately. What action by the nurse is best?
Respuesta
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Advise the client to take antianxiety medication.
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Educate the client on nerve cutting procedures.
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Refer the client to online or local support groups.
Pregunta 15
Pregunta
A client has labyrinthitis and is prescribed antibiotics. What instruction by the nurse is most important for this client?
Respuesta
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Immediately report headache or stiff neck
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Keep all follow-up appointments
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Take the antibiotics with a full glass of water.
Pregunta 16
Pregunta
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?
Respuesta
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Assess vital signs every 15 minutes.
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Dim or turn off lights in the clients room.
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Place the client in bed with the upper siderails up
Pregunta 17
Pregunta
A client is scheduled to have a tumor of the middle ear removed. What teaching topic is most important for the nurse to cover?
Respuesta
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Expecting hearing loss in the affected ear
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Managing postoperative pain
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Maintaining NPO status prior to surgery
Pregunta 18
Pregunta
A nursing student studying the auditory system learns about the structures of the inner ear. What structures does this include?
Respuesta
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Cochlea
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Epitympanum
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Organ of Corti
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Semicircular canals
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Vestibule
Pregunta 19
Pregunta
A client has Menires disease with frequent attacks. About what drugs does the nurse plan to teach the client?
Respuesta
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Broad-spectrum antibiotics
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Chlorpromazine hydrochloride (Thorazine)
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Diphenhydramine (Benadryl)
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Meclizine (Antivert)
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Nonsteroidal anti-inflammatory drugs (NSAIDs)
Pregunta 20
Pregunta
A client is scheduled for a tympanoplasty. What actions by the nurse are most appropriate?
Respuesta
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Administer preoperative antibiotics
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Assess for allergies to local anesthetics
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Ensure that informed consent is on the chart
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Give ordered antivertigo medications
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Teach that hearing improves immediately. ANS: A, C Preoperatively, the nurs
Pregunta 21
Pregunta
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.
Respuesta
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Be careful not to drop the hearing aid when handling
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Soak the hearing aid in hot water for 20 minutes.
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Turn the hearing aid off when the client goes to bed.
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Use a toothpick to clean debris from the device.
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Wash the device with soap and a small amount of warm water.
Pregunta 22
Pregunta
A hospitalized client has Mnires disease. What menu selections demonstrate good knowledge of the recommended diet for this disorder?
Respuesta
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Chinese stir fry with vegetables
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Broiled chicken breast
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Chocolate espresso cookies
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Deli turkey sandwich and chips
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Green herbal tea with meals
Pregunta 23
Pregunta
A client is scheduled for a stapedectomy in 2 weeks. What teaching instructions are most appropriate?
Respuesta
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Avoid alcohol use before surgery
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Blow the nose gently if needed
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Clean the telephone often
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Sneeze with the mouth open
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Wash the external ear daily
Pregunta 24
Pregunta
A client is admitted to the nursing unit after having a tympanoplasty. What activities does the nurse delegate to the unlicensed assistive personnel (UAP)?
Respuesta
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Administer prescribed antibiotics.
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Keep the head of the clients bed flat
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Remind the client to lie on the operative side
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Remove the iodoform gauze in 8 hours
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Take and record postoperative vital signs.
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