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

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ch 48 Assessment and Care of Patients with Ear and Hearing Problems Quiz on ch 48 Assessment and Care of Patients with Ear and Hearing Problems, created by Megan Pattenaude on 08/04/2019.
Megan Pattenaude
Quiz by Megan Pattenaude, updated more than 1 year ago
Megan Pattenaude
Created by Megan Pattenaude about 5 years ago
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Resource summary

Question 1

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

Question 2

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

Question 3

Question
The clients chart indicates a sensorineural hearing loss. What assessment question does the nurse ask to determine the possible cause?
Answer
  • Do you feel like something is in your ear?
  • Do you have frequent ear infections?
  • Have you been exposed to loud noises?

Question 4

Question
The nurse works with clients who have hearing problems. Which action by a client best indicates goals for an important diagnosis have been met?
Answer
  • Babysitting the grandchildren several times a week
  • Having an adaptive hearing device for the television
  • Being active in community events and volunteer work

Question 5

Question
A client has external otitis. On what comfort measure does the nurse instruct the client?
Answer
  • Applying ice four times a day
  • Instilling vinegar-and-water drops
  • Use of a heating pad to the ear

Question 6

Question
An older adult in the family practice clinic reports a decrease in hearing over a week. What action by the nurse is most appropriate?
Answer
  • Assess for cerumen buildup
  • Facilitate audiological testing.
  • Perform tuning fork tests.

Question 7

Question
. A client had a myringotomy. The nurse provides which discharge teaching?
Answer
  • Buy dry shampoo to use for a week.
  • Drink liquids through a straw.
  • Hot water showers will help the pain.

Question 8

Question
A client is going on a cruise but has had motion sickness in the past. What suggestion does the nurse make to this client?
Answer
  • Avoid alcohol on the cruise ship.
  • Change positions slowly on the ship.
  • Try scopolamine (Transderm Scop).

Question 9

Question
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?
Answer
  • 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

Question 10

Question
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?
Answer
  • Assessing the eardrum with an otoscope
  • Inserting a cotton ball in the ear after the drops
  • Washing the hands and removing the packing

Question 11

Question
A nurse is irrigating a clients ear when the client becomes nauseated. What action by the nurse is most appropriate for client comfort?
Answer
  • Have the client tilt the head back.
  • Re-position the client on the other side.
  • Stop the irrigation immediately

Question 12

Question
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
Answer
  • Assess the ordered antibiotics for ototoxicity
  • Explain how kidney damage causes hearing loss
  • Use ibuprofen (Motrin) for pain control

Question 13

Question
A nurse is teaching a community group about preventing hearing loss. What instruction is best?
Answer
  • Always wear a bicycle helmet.
  • Avoid swimming in ponds or lakes
  • Dont go to fireworks displays.

Question 14

Question
A client has severe tinnitus that cannot be treated adequately. What action by the nurse is best?
Answer
  • Advise the client to take antianxiety medication.
  • Educate the client on nerve cutting procedures.
  • Refer the client to online or local support groups.

Question 15

Question
A client has labyrinthitis and is prescribed antibiotics. What instruction by the nurse is most important for this client?
Answer
  • Immediately report headache or stiff neck
  • Keep all follow-up appointments
  • Take the antibiotics with a full glass of water.

Question 16

Question
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?
Answer
  • 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

Question 17

Question
A client is scheduled to have a tumor of the middle ear removed. What teaching topic is most important for the nurse to cover?
Answer
  • Expecting hearing loss in the affected ear
  • Managing postoperative pain
  • Maintaining NPO status prior to surgery

Question 18

Question
A nursing student studying the auditory system learns about the structures of the inner ear. What structures does this include?
Answer
  • Cochlea
  • Epitympanum
  • Organ of Corti
  • Semicircular canals
  • Vestibule

Question 19

Question
A client has Menires disease with frequent attacks. About what drugs does the nurse plan to teach the client?
Answer
  • Broad-spectrum antibiotics
  • Chlorpromazine hydrochloride (Thorazine)
  • Diphenhydramine (Benadryl)
  • Meclizine (Antivert)
  • Nonsteroidal anti-inflammatory drugs (NSAIDs)

Question 20

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

Question 21

Question
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.
Answer
  • 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.

Question 22

Question
A hospitalized client has Mnires disease. What menu selections demonstrate good knowledge of the recommended diet for this disorder?
Answer
  • Chinese stir fry with vegetables
  • Broiled chicken breast
  • Chocolate espresso cookies
  • Deli turkey sandwich and chips
  • Green herbal tea with meals

Question 23

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

Question 24

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