CH. 14 Ears
A 55-year-old client is being evaluated for a hearing impairment. Which question would be most appropriate to provide the most useful information?
"Are you having difficulty hearing high-frequency sounds?"
A nurse is interviewing a client as part of a routine examination of his ears and hearing. The nurse notes that this client has high blood pressure. Which of the following questions regarding his hearing should the nurse ask that is associated with his high blood pressure?
"Do you experience any ringing, roaring, or crackling in your ears?"
The nurse notes a tophus of the ear of an older adult. Which assessment data is consistent with a tophus?
A hard nodule composed of uric acid crystals
The Weber test differentiates bilateral hearing loss.
False
The inner ear contains the malleus, incus, and stapes that conduct sound waves to the middle ear.
False
The following data are gathered: speaks very softly, denies hearing loss, has never had and cannot afford additional hearing tests, fails whisper test. Which nursing diagnosis would be most appropriate?
Ineffective health maintenance, related to denial of hearing problem and inadequate resources for additional testing
Which of the following denotes the correct procedure for using an otoscope when examining the ears of a 32-year-old client?
Inserting the speculum down and forward into the ear canal
Which terms refers to the progressive hearing loss associated with aging?
Presbycusis
The semicircular canals and vestibule provide the body with ____________ and equilibrium.
Proprioception
A client admitted to the health care facility is diagnosed with vertigo. Which test is appropriate for the nurse to perform to assess for equilibrium in the client?
Romberg
A client presents at the clinic complaining of a loss of balance. What test should the nurse expect the physician to carry out on a client with a loss of balance?
Romberg test
A client diagnosed with arthritis has been taking aspirin and now reports experiencing adverse effects. What adverse effect indicates that a decrease in dose may be necessary?
Tinnitus
Early intervention for hearing deficit helps patients interact socially and decreases the risk of injury.
True
Environmental factors that increase the risk for otitis media include secondhand smoke, propping bottles for babies to feed, and bottle feeding in the supine position.
True
Nonverbal cues of hearing loss include leaning forward, concentrating on lip reading, or giving incorrect answers to questions asked.
True
The ____________ membrane is the barrier between the external auditory canal and the middle ear.
Tympanic
Sensory receptors in the ear that help to maintain both static and dynamic equilibrium are located in the semicircular canals and the
Vestibule
Color and consistency of ________________ differs according to cultural background.
cerumen
The ear consists of the external ear, middle ear, and _______ ear.
inner
The RN assessment includes ___________ and palpation of the external ear.
inspection