Impaired Hearing

Surgical treatment for sensorineural hearing loss may be:

A Cochlear implant

6) The nurse is evaluating the care a client with a hearing deficit has received. Which client statement indicates that care has been effective? A) "I ask others to face me when they talk, as I can hear them better." B) "I hear better when the television volume is raised." C) "I will change the battery in my hearing aid once a month." D) "I might use the hearing aid when I go shopping."

A) "I ask others to face me when they talk, as I can hear them better."

5) A client with impaired hearing is scheduled for a test to measure the compliance of the middle ear to sound transmission. For which diagnostic test will the nurse instruct the client? A) Tympanometry B) Weber test C) Rinne test D) Whisper test

A) Tympanometry

The nurse has notes that the physician has a diagnosis of presbycusis on the client's chart. The nurse plans care knowing the condition is:

A) sensorineural hearing loss that occurs with aging

A patient is receiving an aminoglycoside (tobramycin) antibiotic. A nurse asks the patient to choose daily meal selections, to which the patient responds, "Oh, dear, I don't want another IV." The nurse makes which assessment about the patient's response? A. Some hearing loss may have occurred. B. The confusion is due to the hospital stay. C. A nutrition consult most likely is needed. D. The patient has a family history of dementia.

A. Some hearing loss may have occurred.

Aminoglycosides

Antibiotics that may cause hearing loss

9) A nurse is caring for a client who is receiving IV tobramycin for the treatment of a respiratory infection. On which sensory factor will the nurse focus when concerned about this medication's toxic effects on the body? A) Taste B) Hearing C) Vision D) Swallowing

B) Hearing

The nurse is performing a voice test to assess hearing. Which of the following describes the accurate procedure for performing this test? A. Stand 4 feet away from the client to ensure that the client can hear at this distance. B. Whisper a statement and ask the client to repeat it. C. Whisper a statement with the examiners back facing the client. D. Whisper a statement while the client blocks both ears.

B. Whisper a statement and ask the client to repeat it.

What loop diuretics may cause hearing loss?

Bumex and Lasix

8) The nurse is providing care to a client with a hearing deficit. Which intervention should the nurse use when providing care to this client? A) Overarticulate words. B) Vary the volume of voice through sentences. C) Face the client during conversation. D) Use short phrases.

C) Face the client during conversation

2) An older client, reporting a significant loss of hearing after being involved in an explosion, asks when hearing will return. Which response by the nurse is most appropriate at this time? A) Surgery will help restore the hearing you have lost. B) The most common cause of hearing impairments is exposure to loud noises. C) Loud noises can cause immediate, permanent loss of hearing. D) Hearing loss attributed to loud noises is normally reversible.

C) Loud noises can cause immediate, permanent loss of hearing.

The nurse is caring for a client that is hearing impaired. Which of the following approaches will facilitate communication? A. Speak frequently B. Speak loudly C. Speak directly into the impaired ear D. Speak in a normal tone

D. Speak in a normal tone

Sensorineural hearing loss

Decreased ability to hear high-frequency tones more than low-frequency tones

Conductive hearing loss

Equal loss of hearing at all sound frequencies

It is important to teach a patient to avoid _________ when taking steroids.

Grapefruit juice

Presbycusis

Hearing acuity begins to decrease in early adulthood and progresses as long as the individual lives.

What NSAIDs may cause hearing loss?

Ibuprofen, Naproxen, and Salicylates

What does a tympanogram used for?

Measuring pressure of the middle ear and observe the tympanic membrane's response to waves of pressure.

Tinnitus

Perception of sound noise in the ears without a stimulus from the environment. Often described as a buzzing, roaring, or ringing in the ears.

The Weber and Rinne tests determines:

Sensorineural or conductive hearing loss.

During a hearing assessment, the nurse notes that the sound lateralizes to the clients left ear with the Weber test. The nurse analyzes this result as:

Sensorineural or conductive loss

What is the Rinne test?

Using a tuning fork, touch just behind the ear while the fork is vibrating.

What is the Weber test?

Using a tuning fork, touch top of the head while fork is vibrating.

What are aminoglycosides that may cause hearing loss?

Tobramycin, Gentamicin, and Amikacin

What are diagnostic tests used to assess hearing impairment?

Whisper test, Weber test, Rinne test, and tympanogram

What is the whisper test?

With one ear occluded, stand 1-2 ft away from from patient, whisper words, and have patient repeat the words.

Hearing loss related to Otitis media may be treated with:

antibiotics

Hearing loss caused by upper respiratory may be treated with:

decongestants

Stapedectomy

removal and replacement of the stapes in the ear

Sudden sensorineural hearing loss may be treated with:

steroids

Tympanoplasty

structures of middle ear are reconstructed to improve conductive hearing deficits

Ototoxcity

toxic to the ear