A2 EX.1 CH.64 prep u

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? "Lie in bed with your head elevated, and refrain from blowing your nose for 24 hours." "Don't fly in an airplane, climb to high altitudes, make sudden movements, or expose yourself to loud sounds for 30 days." "Try to ambulate independently after about 24 hours." "Shampoo your hair every day for 10 days to help prevent ear infection."

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

A client undergoing mastoid surgery asks the nurse about the pain following the surgery. Which response by the nurse is appropriate? "Usually there is a constant throbbing pain for the first week. Most client report no pain with the use of the pain medications." "Usually the incisional pain is mild and controlled by the prescribed medication for the first 24 hours." "The incisional pain usually last 3 weeks. The doctor will make sure you have enough pain medications." "Most client report a sharp shooting pain for 1 to 2 months following the surgery from the eustachian tube opening."

"Usually the incisional pain is mild and controlled by the prescribed medication for the first 24 hours."

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?

7-10 days

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 high-protein diet A calorie-controlled diet A low-fat diet A low-sodium diet

A low-sodium diet

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? Pretend to follow conversations by nodding the head. Follow lip movements closely. Be forthright and inform others about the hearing deficit. Avoid excess socializing.

Be forthright and inform others about the hearing deficit.

The nurse is caring for a client experiencing hearing loss. The nurse uses the otoscope to assess the ear canal and tympanic membrane and notes a significant accumulation of cerumen. Which documentation of hearing loss type would be most accurate? Mixed Central Conductive Sensorineural

Conductive

The nurse is caring for a client who just returned from a trip requiring an airline flight. The client commented on how his ears hurt upon descent. The nurse is correct in stating which site as being the pressure equalizer in the ear? Tympanic membrane Labyrinth Eustachian tube Auricle

Eustachian tube

A nurse is performing an otoscopic examination on a client. Which finding would the nurse document as abnormal? Umbo in the center of the tympanic membrane Tympanic membrane pearly gray Manubrium superior to the umbo External auditory canal erythema

External auditory canal erythema

If untreated, squamous cell carcinoma of the external ear can spread through the temporal bone, causing which effect? Diplopia Motor impairment Nystagmus Facial nerve paralysis

Facial nerve paralysis

Which precaution should the nurse take when a client is at risk of injury secondary to vertigo and probable imbalance? Recommend that the client keep his or her eyes closed Encourage the client to move the head slowly Restrict the client from focusing on one spot Have the client wait for help before moving

Have the client wait for help before moving

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

Inner ear

A client comes to the walk-in clinic complaining of a "bug in my ear." What action should be taken when there is an insect in the ear? Use of a small forceps Instillation of hot water Instillation of carbamide peroxide Instillation of mineral oil

Instillation of mineral oil

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? It may dislodge the prosthesis. It may cause sudden headaches. It may cause excessive drainage. It may cause vertigo.

It may dislodge the prosthesis.

A patient is participating in aural rehabilitation. The nurse understands that this type of training emphasizes which of the following? Listening skills Occupational skills Social skills Functional skills

Listening skills

Which of the following describes vertigo? Select all that apply. Objects are moving around him or her Spinning sensation Fainting Misperception of motion Syncope

Misperception of motion Objects are moving around him or her Spinning sensation

Which of the following is an involuntary rhythmic movement of the eyes that is also associated with vestibular dysfunction? Presbycusis Tinnitus Nystagmus Vertigo

Nystagmus

A client is newly diagnosed with otitis externa. Which information should the nurse teach the client before the client leaves the clinic? Cleaning ear canal with cotton-tipped applicator after showering Side effects of oral antibiotics Proper instillation of prescribed ear drops Strategies to cope with temporary sensorineural hearing loss

Proper instillation of prescribed ear drops

The nurse is assessing a client's hearing using the Rinne test. When providing instruction to elicit client feedback, which instruction is essential? Raise your hand when the vibration exceeds the sound. Raise your hand when you hear the vibration. Raise your hand when you no longer hear sound. Raise your hand when the sound exceeds the vibration.

Raise your hand when you no longer hear sound.

A nurse is practicing 730witCaring for Clients With Ear Disordershin a pediatric medicine group. What can the nurse do to maintain hearing within the pediatric client base? Increase antibiotic therapy use. Reduce frequency and severity of ear infections. Prevent fevers. Distribute earplugs to all clients.

Reduce frequency and severity of ear infections.

Which nursing diagnosis takes highest priority for a client admitted for evaluation for Ménière's disease? Imbalanced nutrition: Less than body requirements related to nausea and vomiting Acute pain related to vertigo Risk for deficient fluid volume related to vomiting Risk for injury related to vertigo

Risk for injury related to vertigo

he nurse is assessing a client for objective symptoms of hearing difficulties. Which symptom leads the nurse to take alternate measures to ensure client understanding of teaching? The client is quiet and responds appropriately. The client interrupts by asking the nurse to repeat instruction. The client leans forward and turns the head. The client quietly reads the instructional literature.

The client leans forward and turns the head.

The nurse is working in the emergency department when a physician asks for help as the client is performing a Romberg test. In which position would the nurse stand to be most helpful? The nurse would stand across the room but in direct alignment from the client. The nurse would stand directly in front of the client. The nurse would stand between the client and physician. The nurse would stand laterally to the client, opposite side to where the physician is standing.

The nurse would stand laterally to the client, opposite side to where the physician is standing. SUBMIT ANSWER

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.

which medication can produce bilateral tinnitus?

aspirin

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: conductive hearing loss. sensorineural hearing loss. fluctuating hearing loss. functional hearing loss.

conductive hearing loss.

Changes in pressure at high altitudes can cause discomfort in the ears. Which structure within the middle ear is instrumental in equalizing pressure? semicircular canals eustachian tubes incus tubes fallopian tubes

eustachian tubes

A client with progressive hearing loss is diagnosed with a malignant tumor of the right external ear. For which additional alteration in physical status will the nurse assess the client? Cervical node edema Frontal headache Facial nerve paralysis Parotid gland hypertrophy

facial nerve parlaysis

he nurse is preparing teaching for a client with Ménière's disease. Which dietary instruction will the nurse emphasize? Select all that apply.

limit alcohol intake Drink water liberally Limit intake of salt Eat meals at regular intervals

After striking the tuning fork to produce vibration, the nurse would place the tuning fork on

literally on patients head or forehead

Hearing aids help with which of the following problems?

make sound louder

The parent of a young client with severe hearing loss is quite concerned about the child's future independence because of impaired hearing. Which type of hearing loss is usually irreversible? tinnitus sensorineural conductive noise exposure

sensorineural

Postoperative nursing assessment for a patient who has had a mastoidectomy should include observing for facial paralysis, which might indicate damage to which cranial nerve? Fourth Tenth Seventh First

seventh

Which manifestation is most problematic for the client diagnosed with Ménière disease? Diaphoresis Vertigo Tinnitus Hearing loss

vertigo