24

The nurse is caring for a client who reports, "My ears are constantly ringing!" The nurse will evaluate the client further for the use of which of the following medications?

Acetylsalicylic acid (aspirin

The nurse is caring for a client who reports, "My ears are constantly ringing!" The nurse will evaluate the client further for the use of which of the following medications?

Acetylsalicylic acid (aspirin)

A patient is having difficulty with balance. The nurse understands that the area of the ear that impacts balance is which one of the following?

Vestibular apparatus

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.

A Weber/tuning fork test

The eustachian tube connects the nasopharynx and the middle ear. In infants and children with abnormally patent tubes, what are let into the eustachian tube when the infant or child cries or blows the nose?

Air and secretions

The nurse is explaining to the parent of a 5-year-old that the child has otitis media with effusion (OME), noted by otoscopic exam, following an upper respiratory infection. Unlike acute otitis media (AOM), OME does not require treatment with antibiotics because it is usually which of the following?

Asymptomatic and often self-limiting

The nurse is working at a first aid station in an amusement park. A 45-year-old client arrives reporting severe dizziness after a ride on the roller coaster. The nurse understands that a common cause of this sensation is which of the following

Benign paroxysmal positional vertigo

The nurse is assessing a patient's risk for sensorineural hearing loss. Which of the following places the patient at greatest risk?

Chronic noise exposure

A patient tells the nurse that he has hearing loss due to otosclerosis. The nurse realizes that the patient has which of the following?

Conductive hearing loss

Which type of hearing loss should the nurse assess for in a child who has had recurrent otitis media since birth?

Conductive loss

The nurse is explaining to the parent of a 5-year-old that the child has otitis media with effusion (OME), noted by otoscopic exam, following an upper respiratory infection. Unlike acute otitis media (AOM), OME does not require treatment with antibiotics because it is usually which of the following?

Correct response: Asymptomatic and often self-limiting

A patient's chart documents the finding of cholesteatoma. The nurse interprets this to mean that the patient has which of the following?

Cystlike mass in the middle ear

The nurse is caring for a client who has been diagnosed with presbycusis. The nurse understands that with this disorder, the client experiences which of the following?

Difficulty hearing high-pitched frequencies

To diagnoses a vestibular disorder, which test would be used that assesses the eye movements in response to vestibular, visual, and positional stimulation?

Electronystagmography

In comparison to children with acute otitis media (AOM), those with otitis media with effusion (OME) have

Excess middle ear fluid

The nurse understands that vestibular rehabilitation includes which of the following?

Exercises in balance retraining

The nurse is caring for a client who is hearing impaired. The nurse understands that effective communication with the client includes which of the following?

Facing the client so that the client can visualize the lips

Which of the falling nursing interventions is the highest priority intervention for a nurse caring for a 26-year-old client diagnosed with benign paroxysmal postional vertigo implement?

Fall precautions

The nurse has received a prescription to administer a ceruminolytic agent twice daily to an elderly client. The nurse understands that the rationale for use of this agent is to remove which of the following?

Impacted ear wax

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 nurse who works at a clinic for pediatric clients observes that a frequent reason for client visits is acute otitis media (AOM). The nurse understands which of the following structural characteristics of the ear in infants and children increase the potential for AOM?

Less efficient tensor muscle to open the eustachian tube Correct

Conductive hearing loss can occur for a variety of reasons, including foreign bodies in the ear canal, damage to the ear drum, or disease. What disease is associated with conductive hearing loss?

Paget disease

The nurse is caring for a client who has been diagnosed with Meniere disease. The nurse expects which of the following medications will be prescribed to manage the symptoms?

Promethazine (Phenergan

The nurse is caring for a client who has been diagnosed with Meniere disease. The nurse expects which of the following medications will be prescribed to manage the symptoms?

Promethazine (Phenergan)

The nurse is developing a plan of care for a sixty-five-year-old client who has significant hearing loss. The nurse will include which of the following nursing diagnoses in the client's plan of care? Select all that apply.

Risk for social isolation related to impaired hearing • Risk for injury related to impaired hearing • Impaired sensory perception: hearing deficit

Which of the following signs and symptoms is most indicative of Ménière disease?

Rotary vertigo and tinnitus

The nurse is discussing measures that a client may take to prevent barotrauma related to airplane travel. Which of the following measures will the nurse recommend during changes in air pressure?

Swallowing

A client with otosclerosis had a stapedectomy with reconstruction using a prosthesis. What is an expected outcome?

The client is able to hear quiet sounds from a distance.

The nurse is preparing a pediatric client for insertion of a tympanostomy tube. The nurse will teach which of the following to the parents post-procedure?

The ears must be kept out of water

The nurse is preparing a pediatric client for insertion of a tympanostomy tube. The nurse will teach which of the following to the parents post-procedure?

The ears must be kept out of water.

It is important to differentiate between the kinds of hearing loss so they can be appropriately treated. What is used to test between conductive and sensorineural hearing loss?

Tuning fork

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

Tympanostomy tube insertion

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

Tympanostomy tube insertion

The nurse assessing a patient with Ménière disease expects the patient to have which of the following symptoms?

Vertigo

Although both vertigo and dizziness can result from peripheral or central vestibular disorders, vertigo is distinctly different because it causes:

You selected: an illusion of motion.

The nurse understands that autonomic manifestations of vertigo may include which of the following? Select all that apply.

• Tachycardia • Hypotension

The nurse is performing a health history for a seventy-two-year-old client. When reviewing the client's medications, the client states, "I take a baby aspirin every day, but I'm worried. I heard that aspirin can cause hearing problems!" Which of the following is an appropriate response by the nurse?

"A baby aspirin is a low dose that is considered to be safe."

The nurse is teaching a teenaged client strategies to avoid recurrent ear infections. The nurse understands that further teaching is required when the client states which of the following?

"I will dry the inside of my ears thoroughly with cotton-tipped applicators after swimming."

The nurse is teaching a teenaged client strategies to avoid recurrent ear infections. The nurse understands that further teaching is required when the client states which of the following?

"I will dry the inside of my ears thoroughly with cotton-tipped applicators after swimming." Correct