patho chapter 38

The nurse is teaching a client who has tinnitus about suggested dietary modifications. The most important information for the nurse to include would be:

"Cut down on takeout meals because of high amounts of monosodium glutamate."

A client reports occasional ringing in the ears that worsen toward the end of the day. The most important question for the nurse to ask would be:

"What prescription medication and over the counter medication do you take?"

The healthcare provider is reviewing the results of a clients caloric test. The results were as follows: the clients eyes exhibited a jerk nystagmus lasting 2 to 3 minutes, with the slow component toward the irrigated ear followed by rapid movement away from the ear. This would be interpreted as:

A functioning brain stem

A client tells the health care provider that he developed an acute onset (hours) of vertigo, nausea, and vomiting lasting several days, but he has not had auditory or other neurologic manifestations. The health care provider interprets this as:

Acute vestibular neuronitis

The nurse is performing a Romberg test on a client. Select the statement that best describes purpose of the test.

Assess for static vestibular function

The nurse is caring for an elderly client with a suspected diagnosis of presbycusis. Select the most likely manifestation that the nurse would note.

Inability to understand words during a conversation

The ophthalmologist is performing a clients annual eye exam and notes an increase in intraocular pressure. The condition most likely is the result of:

Imbalance between aqueous production and outflow

The nurse documents the presence of nystagmus when assessing a client. This can be interpreted as:

Involuntary eye movements that preserve eye fixation on stable objects in the visual field

Select the statement that best describes meniere disease.

Meniere disease is a disorder of the inner ear due to distention of the endolymphatic compartment of the inner ear, causing a triad of hearing loss, vertigo, and tinnitus

A client tells the doctor he has noticed a recent change in vision: he can bring distant images into focus. but near images becomes blurred. The client has most likely developed:

hyperopia

A client reports feeling like the room is spinning around him when standing still. The client is most likely experiencing:

objective vertigo

A 2 year old child who has had otitis media (OM) for 4 months has been treated with several courses of antibiotics now appear to have some hearing loss. The nurse anticipates that the most appropriate treatment for the child would be:

tympanostomy tube inseriton

A client who experiences constant cloudiness of vision, sees floaters, and has an opaque lens is diagnosed with a cataract. The most appropriate treatment would be:

Surgical lens replacement to correct vision

A client with hearing loss is being seen in the clinic. Select the hearing test that would be used to help differentiate conductive from sensorineural hearing loss.

Weber/ tuning fork test

A client reports sudden, acute left eye pain with blurred vision and a headache on the affected side. The client is most likely experiencing:

acute angle-closure glaucoma

The nurse is teaching the client about the treatment of open-angle glaucoma. The most appropriate information for the nurse to give to the client would be:

administration of topical beta- adrenergic antagonists to lower the pressure

The nurse is assessing a child who was born with cleft lip and cleft palate and has had recurrent otitis media since birth. The nurse would assess the child for which form of hearing loss?

conductive

The nurse is assessing a client who has been diagnosed with esotropia. The nurse would expect the assessment findings to include:

medical deviation

A client presents with copious amounts of yellow-green drainage, conjunctival redness, and chemosis to the right eye. A culture of the eye drainage reveals S. pneumoniae. The client most likely developed:

bacterial conjunctivitis

A client tells the nurse when she is in bed, changes position of her head, and rolls into a lateral position, she experiences brief periods of vertigo, usually lasting less than 1 minute. The client is most likely experiencing:

benign paroxysmal positional vertigo