PrepU ML Quiz Ch 64
A patient is participating in aural rehabilitation. The nurse understands that this type of training emphasizes which of the following? A. Social skills B. Functional skills C. Listening skills D. Occupational skills
C
A physician is assessing a client's ear and notes excess bone formation around the oval window. Which additional assessment finding should the nurse anticipate? A. Sclerosed tympanic membrane B. Equal bone and air conduction C. Low-frequency hearing loss D. Chronic ear infections
C
The nurse is working in the triage section of a walk-in clinic. Which triad of common symptoms, when placed together, indicate Ménière's disease? A. Syncope, vertigo, ear pain B. Disorientation, vertigo, nausea C. Hearing loss, vertigo, tinnitus D. Blurred vision, vertigo, nausea
C
Which nursing goal is a priority when caring for a client newly diagnosed with vertigo? A. Client will close eyes as needed to reduce symptoms. B. Client will maintain therapeutic medication schedule. C. Client will remain safe while ambulating in the home. D. Client will have a caretaker with him or her in the home.
C
Which precaution should the nurse take when a client is at risk of injury secondary to vertigo and probable imbalance? A. Restrict the client from focusing on one spot B. Encourage the client to move the head slowly C. Have the client wait for help before moving D. Recommend that the client keep his or her eyes closed
C
Which statement is consistent with acute otitis media? A. It is a relatively uncommon childhood infection. B. The infection usually lasts more than 6 weeks. C. Conductive hearing loss may occur. D. It is usually caused by a fungal infection.
C
You are admitting a client with an acoustic neuroma to your unit. What would you include during the assessment of this client? A. Test the client's ability to sustain balance. B. Measure the client's urine output. C. Test for facial sensation. D. Note the client's height and weight.
C
Acoustic neuromas are benign tumors of which of the following cranial nerves? A. VIII B. VII C. V D. VI
A
Which terms refers to the progressive hearing loss associated with aging? A. Sensorineural hearing loss B. Otalgia C. Exostoses D. Presbycusis
D
A client comes to the emergency department, reporting that a bee has flown into his ear and is stuck. The client reports a significant amount of pain. Which of the following would be most appropriate to use to remove the bee? A. Mineral oil B. Irrigation C. Hair pin D. Tweezers
A
A client comes to the walk-in clinic complaining of an earache. The cause is found to be impacted cerumen. The client asks the nurse what he can do at home to soften hardened cerumen. What should the nurse recommend to a client to soften hardened cerumen? A. Take nonprescription preparations. B. Increase intake of red meat. C. Increase intake of beta-carotene. D. Avoid harsh sunlight.
A
A client has a history of hearing loss and is returning for an annual hearing examination. During client education, the nurse explains that hearing involves which areas of the ear? A. all sections B. outer section C. middle section D. inner section
A
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: A. stapes B. labyrinth C. tympanic membrane D. incus
A
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? A. "Don't fly in an airplane, climb to high altitudes, make sudden movements, or expose yourself to loud sounds for 30 days." B. "Shampoo your hair every day for 10 days to help prevent ear infection." C. "Lie in bed with your head elevated, and refrain from blowing your nose for 24 hours." D. "Try to ambulate independently after about 24 hours."
A
A mother brings her daughter to the clinic for an evaluation because the child is complaining of ear pain. Which of the following would lead the nurse to suspect that the child is experiencing otitis externa and not otitis media? A. Aural tenderness B. Bulging eardrum C. Ear drainage D. Fever
A
Audiometry confirms a client's chronic progressive hearing loss. Further investigation reveals ankylosis of the stapes in the oval window, a condition that prevents sound transmission. This type of hearing loss is called: A. conductive hearing loss. B. functional hearing loss. C. sensorineural hearing loss. D. fluctuating hearing loss.
A
During assessment for cranial nerve functions, the client closes the eyes and begins to fall to one side. Which cranial nerve alteration causes this response? A. cranial nerve VIII B. facial nerve C. cranial nerve VII D. optic nerve
A
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? A. Dramamine B. Scopolamine C. Phenergan D. Ephedrine
A
High doses of which medication can produce bilateral tinnitus? A. Aspirin B. Promethazine C. Meclizine D. Dimenhydrinate
A
Nursing students are reviewing the structure and function of the ears in preparation for class the next day. The students demonstrate understanding of the information when they describe which of the following as a middle ear structure? A. Ossicles B. Auricle C. Organ of Corti D. Membranous labyrinth
A
Which manifestation is the most problematic for the client diagnosed with Ménière disease? A. Vertigo B. Hearing loss C. Tinnitus D. Diaphoresis
A
Which nursing suggestion would be most helpful to the client with recurrent otitis externa? A. Place ear plugs into the ears before swimming B. Use a cotton applicator to ensure that the ear canal is dry. C. Flush the ear with hydrogen peroxide D. Avoid lying on the side of the affected ear
A
Which precaution should the nurse take when a client is at risk of injury secondary to vertigo and probable imbalance? A. Have the client wait for help before moving B. Restrict the client from focusing on one spot C. Encourage the client to move the head slowly D. Recommend that the client keep his or her eyes closed
A
Which statement describes benign paroxysmal positional vertigo (BPPV)? A. The vertigo is usually accompanied by nausea and vomiting. B. BPPV is stimulated by the use of certain medications, such as acetaminophen. C. The onset of BPPV is gradual. D. BPPV is caused by tympanic membrane rupture.
A
Which symptoms may a client with Ménière disease report before an attack? A. A full feeling in the ear B. Low blood pressure C. Photosensitivity D. Nystagmus
A
A client is suspected of having an acoustic neuroma. The nurse most likely would prepare the client for which diagnostic test to confirm the diagnosis? A. Electronystagmography B. Magnetic resonance imaging (MRI) C. Computed tomography (CT) D. Audiometry
B
A client who has been fitted with a hearing aid comes for a follow-up evaluation. During the visit, the client states, "I've noticed that I still don't seem to hear well enough. The hearing aid doesn't seem to make the sounds louder." Which of the following might the nurse determine as the possible cause? A. The client has an ear infection. B. Client has cerumen in the ear. C. The mold is not properly fitted. D. Ear mold is loose.
B
If untreated, squamous cell carcinoma of the external ear can spread through the temporal bone, causing A. motor impairment. B. facial nerve paralysis. C. diplopia. D. nystagmus.
B
The client has been diagnosed with objective vertigo. Which symptom would the nurse relate to the tentative diagnosis? A. Hearing ability fluctuations B. A sensation of things moving C. Frequency of a headache D. Pain in the outer ear
B
The nurse caring for a client with Ménière's disease needs to assist with what when the client is experiencing an attack? A. Sleeping B. ADLs C. Coughing D. URIs
B
The nurse is examining the area behind the patient's auricle and sees a flaky scaliness. What disorder does the nurse suspect the patient has? A. Acute external otitis B. Seborrheic dermatitis C. Sebaceous cysts D. Tophi
B
The nurse is instructing the client with dried cerumen blocking the ear canal on potential methods to reduce symptoms. Which at-home methods of cerumen removal are discouraged? A. Irrigating the ear with warm water and a rubber-bulb syringe B. Removing the cerumen by means of a cotton tip applicator C. Instilling 1 to 2 drops of half-strength peroxide in the ear D. Using warm glycerin or mineral oil to soften the cerumen
B
A nurse is practicing within a pediatric medicine group. What can the nurse do to maintain hearing within the pediatric client base? A. Prevent fevers. B. Increase antibiotic therapy use. C. Reduce frequency and severity of ear infections. D. Distribute earplugs to all clients.
C
A client has undergone a myringotomy. The nurse interprets this as which of the following? A. Reconstruction of the middle ear bones B. Surgical reconstruction of the eardrum C. Incision of the eardrum D. Placement of ventilation tubes
C
A client is diagnosed as having serous otitis media. When describing this condition to the client, which of the following would be most accurate? A. "You have a common infection in one of the bones of your face." B. "It has resulted from the several recurrent episodes of acute otitis media you've had." C. "You have some fluid that has collected in your middle ear but no infection." D. "Your eardrum has ruptured because of the extreme pressure in your middle ear from the infection."
C
A client is receiving long-term intravenous therapy with gentamicin for a chronic wound infection. Which of the following would be most important for the nurse to ensure? A. Assess intravenous access site daily. B. Monitor complete blood counts every other day. C. Arrange for audiograms twice a week. D. Obtain specimens for wound cultures daily.
C
A client you are caring for has a hearing loss. The client tells you he is self-conscious about his hearing loss. What advice should the nurse give a self-conscious client with hearing loss to protect his self-esteem? A. Follow lip movements closely. B. Pretend to follow conversations by nodding the head. C. Be forthright and inform others about the hearing deficit. D. Avoid excess socializing.
C
A dietary modification for a patient with Ménière's disease would be: A. An increase in vitamin C to 1.5 g/day. B. Fluid restriction to 2 L/day. C. A decrease in sodium intake to 2,000 mg daily. D. An increase in calcium to 1 g/day.
C
Which instructions regarding swimming should the nurse give to a client who is recovering from otitis externa? A. Insert a loose cotton earplug in the external ear. B. Wear a scarf. C. Avoid cold water. D. Wear soft plastic earplugs.
D
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? A. Obtaining prompt treatment for ear infections B. Maintaining daily hygiene for the ears C. Having yearly audiometric testing D. Wearing ear protection when exposed to noise
D
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? A. Change the dressing while the patient is reading the steps of the treatment because distraction decreases anxiety. B. Minimize misunderstandings by completing the patient's sentences (e.g., fill-in-the-blanks) to decrease the patient's embarrassment. C. Use nonverbal signals of agreement (head nodding), even if unsure, to instill confidence and trust. D. Write down the steps of the procedure for the patient to read before beginning the treatment.
D
During a pharmacology class, the students are told that some drugs need to be closely monitored. What aspect should the nurse closely monitor for in clients who have been administered salicylates, loop diuretics, quinidine, quinine, or aminoglycosides? A. Reduced urinary output B. Impaired facial movement C. Signs of hypotension D. Tinnitus and sensorineural hearing loss
D
The client is having a Weber test. During a Weber test, where should the tuning fork be placed? A. Near the external meatus of each ear B. On the mastoid process behind the ear C. Under the bridge of the nose D. In the midline of the client's skull or in the center of the forehead
D
The nurse is assisting the client in planning care during exacerbations of Ménière's disease. Which diet would the nurse identify as appropriate at this time? A. A calorie-controlled diet B. A high-protein diet C. A low-fat diet D. A low-sodium diet
D
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? A. Furosemide (Lasix) B. Gentamicin (Garamycin) intravenously C. Cortisporin otic solution D. Meclizine (Antivert)
D
The nurse is doing discharge teaching with a client newly diagnosed with Ménière's disease. Why would the nurse advise a low-sodium diet to this client? A. To minimize the adverse effects of drug therapy B. To minimize the risk of a tumor that involves the vestibulocochlear nerve C. To reduce the magnitude of the hearing deficit D. To reduce the production of fluid in the inner ear
D
When caring for a client after ear surgery, what is an important aspect of nursing care? A. Assess social support. B. Feed small frequent meals to minimize nausea. C. Fit for a hearing aid. D. Validate client's feelings of discomfort.
D
When preparing a teaching plan for a client diagnosed with otitis externa, the nurse instructs the client to avoid any water sport for which duration? A. 10 to 14 days B. 5 to 7 days C. 3 to 5 days D. 7 to 10 days
D
Which action by the nurse has the highest priority when caring for a client diagnosed with vertigo? A. Encourage the client to keep his or her eyes open. B. Encourage the client to stare straight ahead, focusing on one object. C. Administer antivertiginous medication as ordered. D. Educate the client on using the call light for assistance with ambulation.
D
You are doing discharge teaching with a client after a stapedectomy. Why would it be important for you to advise the client to refrain from blowing the nose? A. It may cause sudden headaches. B. It may cause vertigo. C. It may cause excessive drainage. D. It may dislodge the prosthesis.
D