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

Question 1 of 24

1

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

Select one of the following:

  • 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

Explanation

Question 2 of 24

1

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

Select one of the following:

  • 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

Explanation

Question 3 of 24

1

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

Select one of the following:

  • Do you feel like something is in your ear?

  • Do you have frequent ear infections?

  • Have you been exposed to loud noises?

Explanation

Question 4 of 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?

Select one of the following:

  • Babysitting the grandchildren several times a week

  • Having an adaptive hearing device for the television

  • Being active in community events and volunteer work

Explanation

Question 5 of 24

1

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

Select one of the following:

  • Applying ice four times a day

  • Instilling vinegar-and-water drops

  • Use of a heating pad to the ear

Explanation

Question 6 of 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?

Select one of the following:

  • Assess for cerumen buildup

  • Facilitate audiological testing.

  • Perform tuning fork tests.

Explanation

Question 7 of 24

1

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

Select one of the following:

  • Buy dry shampoo to use for a week.

  • Drink liquids through a straw.

  • Hot water showers will help the pain.

Explanation

Question 8 of 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?

Select one of the following:

  • Avoid alcohol on the cruise ship.

  • Change positions slowly on the ship.

  • Try scopolamine (Transderm Scop).

Explanation

Question 9 of 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?

Select one of the following:

  • 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

Explanation

Question 10 of 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?

Select one of the following:

  • Assessing the eardrum with an otoscope

  • Inserting a cotton ball in the ear after the drops

  • Washing the hands and removing the packing

Explanation

Question 11 of 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?

Select one of the following:

  • Have the client tilt the head back.

  • Re-position the client on the other side.

  • Stop the irrigation immediately

Explanation

Question 12 of 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

Select one of the following:

  • Assess the ordered antibiotics for ototoxicity

  • Explain how kidney damage causes hearing loss

  • Use ibuprofen (Motrin) for pain control

Explanation

Question 13 of 24

1

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

Select one of the following:

  • Always wear a bicycle helmet.

  • Avoid swimming in ponds or lakes

  • Dont go to fireworks displays.

Explanation

Question 14 of 24

1

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

Select one of the following:

  • Advise the client to take antianxiety medication.

  • Educate the client on nerve cutting procedures.

  • Refer the client to online or local support groups.

Explanation

Question 15 of 24

1

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

Select one of the following:

  • Immediately report headache or stiff neck

  • Keep all follow-up appointments

  • Take the antibiotics with a full glass of water.

Explanation

Question 16 of 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?

Select one of the following:

  • 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

Explanation

Question 17 of 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?

Select one of the following:

  • Expecting hearing loss in the affected ear

  • Managing postoperative pain

  • Maintaining NPO status prior to surgery

Explanation

Question 18 of 24

1

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

Select one or more of the following:

  • Cochlea

  • Epitympanum

  • Organ of Corti

  • Semicircular canals

  • Vestibule

Explanation

Question 19 of 24

1

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

Select one or more of the following:

  • Broad-spectrum antibiotics

  • Chlorpromazine hydrochloride (Thorazine)

  • Diphenhydramine (Benadryl)

  • Meclizine (Antivert)

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)

Explanation

Question 20 of 24

1

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

Select one or more of the following:

  • 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

Explanation

Question 21 of 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.

Select one or more of the following:

  • 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.

Explanation

Question 22 of 24

1

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

Select one or more of the following:

  • Chinese stir fry with vegetables

  • Broiled chicken breast

  • Chocolate espresso cookies

  • Deli turkey sandwich and chips

  • Green herbal tea with meals

Explanation

Question 23 of 24

1

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

Select one or more of the following:

  • 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

Explanation

Question 24 of 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)?

Select one or more of the following:

  • 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.

Explanation

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