prepu chapter 43

Which symptoms may a client with Ménière disease report before an attack?

A full feeling in the ear

Which of the following nurse's actions carries the greatest potential to prevent hearing loss due to ototoxicity?

Be aware of clients' medication regimens and collaborate with other professionals accordingly.

Which action by the nurse has the highest priority when caring for a client diagnosed with vertigo?

Educate the client on using the call light for assistance with ambulation.

If untreated, squamous cell carcinoma of the external ear can spread through the temporal bone, causing which effect?

Facial nerve paralysis

Which precautions should the nurse take when a client is at risk of injury secondary to vertigo and probable imbalance?

Grasp the siderails when rising to a standing position.

A client complains of vertigo. The nurse anticipates that the client may have a problem with which portion of the ear?

Inner ear

Which are correct methods for removing a foreign body from the ear? Select all that apply.

Irrigation

The nurse is developing a plan of care for a client with Meniere's disease and identifies a nursing diagnosis of excess fluid volume related to fluid retention in the inner ear. Which intervention would be most appropriate to include in the plan of care?

Limit foods that are high in sodium.

The nurse is caring for a patient with Ménière's disease who is hospitalized with severe vertigo. What medication does the nurse anticipate administering to shorten the attack?

Meclizine (Antivert)

Which terms refers to the progressive hearing loss associated with aging?

Presbycusis

Which symptom is related to vertigo?

Spinning sensation

High doses of which medication can produce bilateral tinnitus?

aspirin

Which of the following is the treatment of choice for acoustic neuromas?

surgery

The nurse is talking with a patient diagnosed with Ménière's disease about the patient's symptoms. What symptom does the patient inform the nurse is the most troublesome?

vertigo

Which manifestation is the most problematic for the client diagnosed with Ménière disease?

vertigo

Which condition is characterized by the formation of abnormal spongy bone around the stapes?

Otosclerosis

A client has been diagnosed with otosclerosis. The nurse explains to the client that this is a common cause of hearing impairment among adults and is the result of a bony overgrowth of the:

stapes

A patient has been treated for external otitis for the second time during the summer months. What education can be provided for the patient to reduce the risk of developing this problem? Select all that apply.

Do not clean the external canal with cotton-tipped applicators. Avoid getting the ear wet when swimming or showering. Use an antiseptic otic preparation after swimming, unless there is a history of tympanic membrane perforation.

A client with a sudden onset of hearing loss tells the nurse that he would like to begin using hearing aids. The nurse understands that the health professional dispensing hearing aids would have what responsibility?

Refer the client to his primary care physician.

Which test uses a tuning fork shifted between two positions to assess hearing?

Rinne

Which term refers to surgical repair of the tympanic membrane?

Tympanoplasty

An older adult client reports pain in the ears and an unusual sense of fullness. The client also indicates not hearing as well as in the past. On inspection, the nurse notes that there is an accumulation of earwax in the client's ears. The client is suffering from:

otalgia.

Acoustic neuromas are benign tumors of which of the following cranial nerves?

viii

Why should the nurse encourage a client with otitis externa to eat soft foods?

Chewing may cause discomfort.

An older adult with a recent history of mixed hearing loss has been diagnosed with a cholesteatoma. What should this client be taught about this diagnosis? Select all that apply

Cholesteatomas are often the result of chronic otitis media. Cholesteatomas usually must be removed surgically.

Which type of hearing loss is most likely to be caused by frequent ear infections?

sensorineural

A client who has a lengthy history of progressive hearing loss is very forthright about the condition, and the nurse wants to develop a communication strategy for this client's hospital stay. Which communication strategy has proven to be the most effective?

the one the client will use

A client is diagnosed as having serous otitis media. When describing this condition to the client, which of the following would be most accurate?

"You have some fluid that has collected in your middle ear but no infection."

The nurse and a colleague are performing the Epley maneuver with a client who has a diagnosis of benign paroxysmal positional vertigo. The nurses should begin this maneuver by performing what action?

Assisting the client into a sitting position

After mastoid surgery, an 81-year-old client has been identified as needing assistance in her home. What would be a primary focus of this client's home care?

Assisting the client with ambulation as needed to avoid falling

Which instruction regarding swimming should the nurse give to the client who is recovering from otitis externa?

Avoid swimming for 7-10 days

A client with a conductive hearing disorder caused by ankylosis of the stapes in the oval window undergoes a stapedectomy to remove the stapes and replace the impaired bone with a prosthesis. After the stapedectomy, the nurse should provide which client instruction?

Don't fly in an airplane, climb to high altitudes, make sudden movements, or expose yourself to loud sounds for 30 days."

Health teaching for a patient who suffers from motion sickness would include recommending the use of which one of the following over-the-counter drugs?

Dramamine

A nurse practitioner in an emergency room receives a telephone call from a mother whose 4-year-old child has a mosquito stuck in his external ear canal. Which of the following is the best information the nurse could give the mother?

Instill a few drops of warmed mineral oil to cover the insect.

The nurse is caring for a client who has undergone a mastoidectomy. In an effort to prevent postoperative infection, what intervention should the nurse implement?

Instruct the client to protect the ear from water for several weeks.

A nurse is practicing within a pediatric medicine group. What can the nurse do to maintain hearing within the pediatric client base?

Reduce frequency and severity of ear infections.

Which nursing diagnosis takes highest priority for a client admitted for evaluation for Ménière's disease?

Risk for injury related to vertigo

The nurse is providing care for a client who has benefited from a cochlear implant. The nurse should understand that this client's health history likely includes which of the following? Select all that apply.

The client was diagnosed with sensorineural hearing loss. The client's hearing did not improve appreciably with the use of hearing aids.

A client diagnosed with arthritis has been taking aspirin and now reports experiencing tinnitus and hearing loss. What should the nurse teach this client?

The hearing loss will likely resolve with time after the drug is discontinued.

Which instructions regarding swimming should the nurse give to a client who is recovering from otitis externa? Select all that apply.

Wear soft plastic earplugs.

A nurse is preparing a presentation for a local community about hearing loss and prevention. Which of the following would the nurse integrate into the presentation as the most effective preventive measure?

Wearing ear protection when exposed to noise

A nurse needs to change a dressing on an abdominal wound for a patient who is hearing-impaired and whose speech is difficult to understand. Which of the following is the best approach for the nurse?

Write down the steps of the procedure for the patient to read before beginning the treatment.

Loud, persistent noise has been found to cause which symptoms? Select all that apply.

constriction of peripheral blood vessels.

The nurse is planning the care of a client who is adapting to the use of a hearing aid for the first time. What is the most significant challenge experienced by a client with hearing loss who is adapting to using a hearing aid for the first time?

Learning to cope with amplification of background noise

Hearing aids help with which of the following problems?

Makes sounds louder