Copy and Edit

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

Description

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 over 5 years ago
28
1
0

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.
Show full summary Hide full summary

Want to create your own Quizzes for free with GoConqr? Learn more.

Similar

Romeo and juliet
Patrick N
To Kill A Mockingbird GCSE English
naomisargent
Great Expectations
Jodee Phillips
CHEMISTRY CORE REVISION
Sausan Saleh
Input and Output Devices
Jess Peason
F211- Module 1 Cells, exchange and transport
eilish.waite
Chemistry Rates of Reaction Revision
11mzroser
Discovery - HSC English
abby.slinger
GCSE REVISION TIMETABLE
Sophie Thuita
Forces and motion
Catarina Borges
Clinical Pathoanatomy MCQs (Q 151-250)
Ore iyanda
Browse Library