Megan Pattenaude
Test por , creado hace más de 1 año

ch 48 Assessment and Care of Patients with Ear and Hearing Problems Test sobre ch 48 Assessment and Care of Patients with Ear and Hearing Problems, creado por Megan Pattenaude el 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

Pregunta 1 de 24

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 2 de 24

1

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

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 3 de 24

1

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

Selecciona una de las siguientes respuestas posibles:

  • Do you feel like something is in your ear?

  • Do you have frequent ear infections?

  • Have you been exposed to loud noises?

Explicación

Pregunta 4 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Babysitting the grandchildren several times a week

  • Having an adaptive hearing device for the television

  • Being active in community events and volunteer work

Explicación

Pregunta 5 de 24

1

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

Selecciona una de las siguientes respuestas posibles:

  • Applying ice four times a day

  • Instilling vinegar-and-water drops

  • Use of a heating pad to the ear

Explicación

Pregunta 6 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Assess for cerumen buildup

  • Facilitate audiological testing.

  • Perform tuning fork tests.

Explicación

Pregunta 7 de 24

1

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

Selecciona una de las siguientes respuestas posibles:

  • Buy dry shampoo to use for a week.

  • Drink liquids through a straw.

  • Hot water showers will help the pain.

Explicación

Pregunta 8 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Avoid alcohol on the cruise ship.

  • Change positions slowly on the ship.

  • Try scopolamine (Transderm Scop).

Explicación

Pregunta 9 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 10 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Assessing the eardrum with an otoscope

  • Inserting a cotton ball in the ear after the drops

  • Washing the hands and removing the packing

Explicación

Pregunta 11 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Have the client tilt the head back.

  • Re-position the client on the other side.

  • Stop the irrigation immediately

Explicación

Pregunta 12 de 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

Selecciona una de las siguientes respuestas posibles:

  • Assess the ordered antibiotics for ototoxicity

  • Explain how kidney damage causes hearing loss

  • Use ibuprofen (Motrin) for pain control

Explicación

Pregunta 13 de 24

1

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

Selecciona una de las siguientes respuestas posibles:

  • Always wear a bicycle helmet.

  • Avoid swimming in ponds or lakes

  • Dont go to fireworks displays.

Explicación

Pregunta 14 de 24

1

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

Selecciona una de las siguientes respuestas posibles:

  • Advise the client to take antianxiety medication.

  • Educate the client on nerve cutting procedures.

  • Refer the client to online or local support groups.

Explicación

Pregunta 15 de 24

1

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

Selecciona una de las siguientes respuestas posibles:

  • Immediately report headache or stiff neck

  • Keep all follow-up appointments

  • Take the antibiotics with a full glass of water.

Explicación

Pregunta 16 de 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?

Selecciona una de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 17 de 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?

Selecciona una de las siguientes respuestas posibles:

  • Expecting hearing loss in the affected ear

  • Managing postoperative pain

  • Maintaining NPO status prior to surgery

Explicación

Pregunta 18 de 24

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • Cochlea

  • Epitympanum

  • Organ of Corti

  • Semicircular canals

  • Vestibule

Explicación

Pregunta 19 de 24

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • Broad-spectrum antibiotics

  • Chlorpromazine hydrochloride (Thorazine)

  • Diphenhydramine (Benadryl)

  • Meclizine (Antivert)

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)

Explicación

Pregunta 20 de 24

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 21 de 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.

Selecciona una o más de las siguientes respuestas posibles:

  • 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.

Explicación

Pregunta 22 de 24

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • Chinese stir fry with vegetables

  • Broiled chicken breast

  • Chocolate espresso cookies

  • Deli turkey sandwich and chips

  • Green herbal tea with meals

Explicación

Pregunta 23 de 24

1

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

Selecciona una o más de las siguientes respuestas posibles:

  • 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

Explicación

Pregunta 24 de 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)?

Selecciona una o más de las siguientes respuestas posibles:

  • 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.

Explicación