Question 1

A patient with chronic acute otitis media infections is having a myringotomy. What discharge instructions should the nurse provide?

Accepted Answer

A)   Avoid getting any water into the ears.
B)   Wash hair only with warm water.
C)   Make sure showers are completed within 10 minutes.
D)   Avoid gum chewing.

Question 2

A patient tells the nurse that the only way he can adequately clean his ears is with a cotton-tipped applicator. What is the nurse's best action regarding this statement?

Accepted Answer

A)   Instruct the patient on the proper use of cotton-tipped applicators.
B)   Educate the patient about the danger of using cotton-tipped applicators for this purpose.
C)   Instruct the patient to use cotton-tipped applicators only when necessary.
D)   Check to see if the ears are clean.

Question 3

A patient with a sore throat and head cold is complaining of "trouble with hearing." The nurse should conduct additional assessment for which most likely condition?

Accepted Answer

A)   Swimmer's ear
B)   A middle ear infection
C)   Otosclerosis
D)   An inner ear infection

Question 4

During an otoscopic examination, the nurse notes a number of lumps in the patient's ear canal. Which assessment questions should the nurse ask? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A)   "Have you noticed that you are not hearing as well?'
B)   "Have you ever spent time in saltwater?"
C)   "Do you frequently wear earbuds or earphones?"
D)   "Have you ever been a surfer?"
E)   "Do you clean your ear with a cotton-tipped applicator?"

Question 5

An older patient has been diagnosed with presbycusis. The nurse would plan interventions to address which kind of hearing loss that is a common result of aging?

Accepted Answer

A)   Sensorineural
B)   Air conduction
C)   Conductive
D)   Mixed

Question 6

A child has been diagnosed with perforation of the tympanic membrane TM)  secondary to a middle ear infection. What discharge information should the nurse provide the parents? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A)   "Your child's hearing loss will probably be permanent."
B)   "Keep the ear canal dry."
C)   "The eardrum will probably heal well on its own."
D)   "You will need to call an ear surgeon for an appointment to repair this perforation."
E)   "Most perforations indicate congenital weakness in the eardrum, so this is likely to occur again."

Question 7

The nurse knows that a patient may develop sensorineural hearing loss as a result of ototoxic drugs. Which patient would be at highest risk for this type of hearing deficit?

Accepted Answer

A)   A patient with methicillin-resistant Staphylococcus aureus MRS
A)   on high doses of vancomycin Vancocin) 
B)   A patient on low-dose aspirin to prevent stroke
C)   A patient on steroids Prednisone)  for chronic spondylolisthesis
D)   A patient using atorvastatin Lipitor)  to prevent heart disease and stroke

Question 8

The nurse is reviewing the laboratory results of an elderly female patient who complains of being dizzy. Which laboratory results would the nurse evaluate as a possible cause of this condition? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A)   Potassium of 3.4 mEq/L
B)   Sodium level of 131 mEq/L
C)   Blood glucose of 75 mg/dL
D)   BUN of 26 mg/dL
E)   Hematocrit of 40%

Question 9

A patient is diagnosed with otosclerosis. The nurse plans interventions related to which type of hearing loss?

Accepted Answer

A)   Sensorineural
B)   Mixed
C)   Conductive
D)   Cochlear

Question 10

A 25-year-old patient has had surgery for a cochlear implant. Which statement by a family member does the nurse evaluate as indicating understanding about this device?

Accepted Answer

A)   "A cochlear implant won't replace normal hearing; it will improve sound perception."
B)   "It will be much nicer than a hearing aid, as nothing needs to be worn or will be visible."
C)   "The speaking voice will improve too."
D)   "These are so easy to use that she will be hearing well very soon."

Question 11

A patient diagnosed with swimmer's ear says, "I haven't been swimming in 2 years." How should the nurse respond to this statement? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A)   "Let me recheck your chart to be certain I did not misinterpret the diagnosis."
B)   "You must have gotten lots of water in your ear while showering."
C)   "Swimmer's ear is usually a bacterial infection."
D)   "Swimmer's ear can be caused by wearing ear plugs, earphones, or earbuds."
E)   "Swimmer's ear is the common name for otitis externa, which has many causes."

Question 12

When taking a health history, the nurse asks a patient about taking over-the-counter medications. The patient reports taking large doses of aspirin to relieve daily headaches. This comment should alert the nurse to further assess the patient's hearing for which reason?

Accepted Answer

A)   The headaches are probably caused by a hearing disorder.
B)   Aspirin can be ototoxic.
C)   Most headaches are caused by disorders of the inner ear.
D)   The patient is trying to treat a serious condition without medical intervention.

Question 13

Which nursing interventions are most appropriate for a patient with a nursing diagnosis of Impaired Verbal Communication related to hearing deficit? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

A)   Speak face-to-face, but do not over-articulate words.
B)   Respond to the call light promptly.
C)   Use touch to gain the patient's attention.
D)   Speak clearly.
E)   Speak in a higher pitch.

Question 14

A patient experiences an increase in ear pain when the auricle is pulled up and back. The nurse would conduct additional assessment for which condition?

Accepted Answer

A)   Otitis externa
B)   Otitis media
C)   Labyrinthitis
D)   Exostosis

Question 15

Which nursing diagnosis is a priority for a patient with severe symptoms of tinnitus, vertigo, sensorineural hearing deficit, nausea, and vomiting?

Accepted Answer

A)   Disturbed Sensory Perception
B)   Imbalanced Nutrition: Less than Body Requirements
C)   Ineffective Individual Coping
D)   Disturbed Sleep Patterns

Exam 63: Caring for the Patient With Hearing and Balance Disorders

A patient with a sore throat and head cold is complaining of "trouble with hearing." The nurse should conduct additional assessment for which most likely condition?

Correct Answer
verified

An older patient has been diagnosed with presbycusis. The nurse would plan interventions to address which kind of hearing loss that is a common result of aging?

Correct Answer
verified

During an otoscopic examination, the nurse notes a number of lumps in the patient's ear canal. Which assessment questions should the nurse ask? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Correct Answer
verified

Correct Answer
verified

A patient is diagnosed with otosclerosis. The nurse plans interventions related to which type of hearing loss?

Correct Answer
verified

Which nursing interventions are most appropriate for a patient with a nursing diagnosis of Impaired Verbal Communication related to hearing deficit? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Correct Answer
verified

A patient with chronic acute otitis media infections is having a myringotomy. What discharge instructions should the nurse provide?

Correct Answer
verified

A patient diagnosed with swimmer's ear says, "I haven't been swimming in 2 years." How should the nurse respond to this statement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Correct Answer
verified

A 25-year-old patient has had surgery for a cochlear implant. Which statement by a family member does the nurse evaluate as indicating understanding about this device?

Correct Answer
verified

A patient experiences an increase in ear pain when the auricle is pulled up and back. The nurse would conduct additional assessment for which condition?

Correct Answer
verified

Correct Answer
verified

When taking a health history, the nurse asks a patient about taking over-the-counter medications. The patient reports taking large doses of aspirin to relieve daily headaches. This comment should alert the nurse to further assess the patient's hearing for which reason?

Correct Answer
verified

A patient tells the nurse that the only way he can adequately clean his ears is with a cotton-tipped applicator. What is the nurse's best action regarding this statement?

Correct Answer
verified

Which nursing diagnosis is a priority for a patient with severe symptoms of tinnitus, vertigo, sensorineural hearing deficit, nausea, and vomiting?

Correct Answer
verified

The nurse knows that a patient may develop sensorineural hearing loss as a result of ototoxic drugs. Which patient would be at highest risk for this type of hearing deficit?

Correct Answer
verified

Exam 63: Caring for the Patient With Hearing and Balance Disorders

A patient with a sore throat and head cold is complaining of "trouble with hearing." The nurse should conduct additional assessment for which most likely condition?

Correct AnswerverifiedShow Answer

An older patient has been diagnosed with presbycusis. The nurse would plan interventions to address which kind of hearing loss that is a common result of aging?

Correct AnswerverifiedShow Answer

During an otoscopic examination, the nurse notes a number of lumps in the patient's ear canal. Which assessment questions should the nurse ask? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

A patient is diagnosed with otosclerosis. The nurse plans interventions related to which type of hearing loss?

Correct AnswerverifiedShow Answer

Which nursing interventions are most appropriate for a patient with a nursing diagnosis of Impaired Verbal Communication related to hearing deficit? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Correct AnswerverifiedShow Answer

A patient with chronic acute otitis media infections is having a myringotomy. What discharge instructions should the nurse provide?

Correct AnswerverifiedShow Answer

A patient diagnosed with swimmer's ear says, "I haven't been swimming in 2 years." How should the nurse respond to this statement? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Correct AnswerverifiedShow Answer

A 25-year-old patient has had surgery for a cochlear implant. Which statement by a family member does the nurse evaluate as indicating understanding about this device?

Correct AnswerverifiedShow Answer

A patient experiences an increase in ear pain when the auricle is pulled up and back. The nurse would conduct additional assessment for which condition?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

When taking a health history, the nurse asks a patient about taking over-the-counter medications. The patient reports taking large doses of aspirin to relieve daily headaches. This comment should alert the nurse to further assess the patient's hearing for which reason?

Correct AnswerverifiedShow Answer

A patient tells the nurse that the only way he can adequately clean his ears is with a cotton-tipped applicator. What is the nurse's best action regarding this statement?

Correct AnswerverifiedShow Answer

Which nursing diagnosis is a priority for a patient with severe symptoms of tinnitus, vertigo, sensorineural hearing deficit, nausea, and vomiting?

Correct AnswerverifiedShow Answer

The nurse knows that a patient may develop sensorineural hearing loss as a result of ototoxic drugs. Which patient would be at highest risk for this type of hearing deficit?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified