Quiz
ch 48 Assessment and Care of Patients with Ear and Hearing Problems
Questions in this quiz (24)
1A nurse is teaching a client about ear hygiene and health. What client statement indicates a need for further
teaching?- AA soft cotton swab is alright to clean my ears with
- BI make sure my ears are dry after I go swimming
- CKeeping my diabetes under control helps my ears
2The student nurse is performing a Weber tuning fork test. What technique is most appropriate?
- AHolding the vibrating tuning fork 10 to 12 inches from the clients ear
- BPlacing the vibrating fork in the middle of the clients head
- CStarting by placing the vibrating fork on the mastoid process
3 The clients chart indicates a sensorineural hearing loss. What assessment question does the nurse ask to determine the possible cause?
- ADo you feel like something is in your ear?
- BDo you have frequent ear infections?
- CHave you been exposed to loud noises?
4The nurse works with clients who have hearing problems. Which action by a client best indicates goals for an important diagnosis have been met?
- ABabysitting the grandchildren several times a week
- BHaving an adaptive hearing device for the television
- CBeing active in community events and volunteer work
5 A client has external otitis. On what comfort measure does the nurse instruct the client?
- AApplying ice four times a day
- BInstilling vinegar-and-water drops
- CUse of a heating pad to the ear
6An older adult in the family practice clinic reports a decrease in hearing over a week. What action by the nurse is most appropriate?
- AAssess for cerumen buildup
- BFacilitate audiological testing.
- CPerform tuning fork tests.
7. A client had a myringotomy. The nurse provides which discharge teaching?
- ABuy dry shampoo to use for a week.
- BDrink liquids through a straw.
- CHot water showers will help the pain.
8A client is going on a cruise but has had motion sickness in the past. What suggestion does the nurse make to this client?
- AAvoid alcohol on the cruise ship.
- BChange positions slowly on the ship.
- CTry scopolamine (Transderm Scop).
9A 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?
- AClient with an hour car commute on the freeway each day
- BClient who rides a motorcycle to work 20 minutes each way
- CClient who is a tree-trimmer and uses a chainsaw 6 to 7 hours a day
10A nursing student is instructed to remove a clients ear packing and instill eardrops. What action by the student requires intervention by the registered nurse?
- AAssessing the eardrum with an otoscope
- BInserting a cotton ball in the ear after the drops
- CWashing the hands and removing the packing
11A nurse is irrigating a clients ear when the client becomes nauseated. What action by the nurse is most appropriate for client comfort?
- AHave the client tilt the head back.
- BRe-position the client on the other side.
- CStop the irrigation immediately
12A 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
- AAssess the ordered antibiotics for ototoxicity
- BExplain how kidney damage causes hearing loss
- CUse ibuprofen (Motrin) for pain control
13A nurse is teaching a community group about preventing hearing loss. What instruction is best?
- AAlways wear a bicycle helmet.
- BAvoid swimming in ponds or lakes
- CDont go to fireworks displays.
14 A client has severe tinnitus that cannot be treated adequately. What action by the nurse is best?
- AAdvise the client to take antianxiety medication.
- BEducate the client on nerve cutting procedures.
- CRefer the client to online or local support groups.
15 A client has labyrinthitis and is prescribed antibiotics. What instruction by the nurse is most important for this client?
- AImmediately report headache or stiff neck
- BKeep all follow-up appointments
- CTake the antibiotics with a full glass of water.
16 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?
- AAssess vital signs every 15 minutes.
- BDim or turn off lights in the clients room.
- CPlace the client in bed with the upper siderails up
17 A client is scheduled to have a tumor of the middle ear removed. What teaching topic is most important for the nurse to cover?
- AExpecting hearing loss in the affected ear
- BManaging postoperative pain
- CMaintaining NPO status prior to surgery
18A nursing student studying the auditory system learns about the structures of the inner ear. What structures does this include?
- ACochlea
- BEpitympanum
- COrgan of Corti
- DSemicircular canals
- EVestibule
19 A client has Menires disease with frequent attacks. About what drugs does the nurse plan to teach the client?
- ABroad-spectrum antibiotics
- BChlorpromazine hydrochloride (Thorazine)
- CDiphenhydramine (Benadryl)
- DMeclizine (Antivert)
- ENonsteroidal anti-inflammatory drugs (NSAIDs)
20 A client is scheduled for a tympanoplasty. What actions by the nurse are most appropriate?
- AAdminister preoperative antibiotics
- BAssess for allergies to local anesthetics
- CEnsure that informed consent is on the chart
- DGive ordered antivertigo medications
- ETeach that hearing improves immediately.
ANS: A, C Preoperatively, the nurs
21A 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.
- ABe careful not to drop the hearing aid when handling
- BSoak the hearing aid in hot water for 20 minutes.
- CTurn the hearing aid off when the client goes to bed.
- DUse a toothpick to clean debris from the device.
- EWash the device with soap and a small amount of warm water.
22A hospitalized client has Mnires disease. What menu selections demonstrate good knowledge of the recommended diet for this disorder?
- AChinese stir fry with vegetables
- BBroiled chicken breast
- CChocolate espresso cookies
- DDeli turkey sandwich and chips
- EGreen herbal tea with meals
23A client is scheduled for a stapedectomy in 2 weeks. What teaching instructions are most appropriate?
- AAvoid alcohol use before surgery
- BBlow the nose gently if needed
- CClean the telephone often
- DSneeze with the mouth open
- EWash the external ear daily
24 A client is admitted to the nursing unit after having a tympanoplasty. What activities does the nurse delegate to the unlicensed assistive personnel (UAP)?
- AAdminister prescribed antibiotics.
- BKeep the head of the clients bed flat
- CRemind the client to lie on the operative side
- DRemove the iodoform gauze in 8 hours
- ETake and record postoperative vital signs.
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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.
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- Megan Pattenaude
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- English
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