Ch 59 prepu
The nurse is caring for a client who just returned from a trip requiring an airline flight. The client reported your pain upon descendent. The nurses cracking in stating which site of being the pressure equalizer in the air.
Eustachian tube
Nurse is performing otoscopic examination on a client. Which finding would the nurse document as a normal.
External auditory canal erythema
If untreated, squamous cell carcinoma of the external ear canal can spread through the temporal bone, causing which of the following
Facial nerve paralysis
The nurse is caring for a client with reoccurring ear infections. The nurse assesses a client for further infectious process is traveling deeper into the Titian, becoming more lethal. Which infection originated in the ear and is most concern
Meningitis
Client comes in emergency department reporting that may be as fun as they are in stock. The client reports a significant amount of pain. Which of the following would be the most appropriate to use to remove the bee
Mineral oil
Which of the following describes vertigo? select all that apply
Misperception of motion -Objects are moving around him or her -Spinning sensation
Which nursing suggestion would be most helpful to the client with reoccur otitis external
Place ear plugs into the ears before swimming
A client is newly diagnosed with otitis externa. Which information should the nurse teach the client before the client leaves the clinic
Proper instillation of prescribed ear drops
A nurse is working in the emergency department. Wanna position ask for help as a client is performing a Romberg test. In which position with the nurse stand to be most helpful?
The nurse, would stand laterally to the client, opposite side to were the physician is standing
A nurse is caring for a client with Ménière's disease needs to assist with what when the client is experiencing an attack
ADLs
When preparing a teaching plan for a client diagnosed with Otis externa, the nurse instructs a client to avoid any water sport for which duration
7 to 10 days
Which symptoms may a client with menière disease report before an attack
A full feeling in the ear
You are teaching a class on diseases of the air. What would you teach? A class is the most characteristic symptoms otosclerosis?
A progressive bilateral loss of hearing
You're teaching a class on diseases of the year. What would you teach? The class is the most characteristic symptom of otosclerosis
A progressive bilateral loss of hearing
I Mother brings her daughter to the clinic for an evaluation because the child is complaining of your pain. Which of the following would leave the nurse to suspect that the child is experiencing Otis externa no Otis media.
Aural tenderness
Which is a correct rationale for encouraging a client with Otis externa to eat soft food
Chewing may cause discomfort
The nurse is caring for a client experiencing hearing loss. The nurses is auto scope to assess that your canal Tim panic membrane and notice significant accumulation of cerumen. Which documentation of hearing loss time would be most accurate
Conductive
Which of the following medication's may be used in the treatment of motion sickness
Dimenhydrinate
How is teaching for a patient who suffers from motion sickness would include recommendation use of which of the following over the counter drugs?
Dramamine
Tell teaching for a patient who suffers for motion sickness would include recommending the use of which of the following over-the-counter drugs
Dramamine
Client has been diagnosed with Otis externa. The nurse is providing the client with instructions on providing a reoccurrence. Which instructions would not be included
Dry the external canal with a hairdryer, using high heat and low, setting after exposure to water
The nurse is caring for a client in the triage section on a walk in clinic. Which triad of the common symptoms suggest a diagnosis of Ménière disease
Hearing loss vertigo, tinnitus
A client complains of vertigo. The nurse anticipates of the client may have a problem with what portion of the ear
Inner ear
Client comes to the wak in clinic setting stating I feel like there's a a bug in my ear. What action should be taken when there is an insect in the ear
Installation of mineral oil
My client diagnosed with benign paroxysmal positional vertigo is experiencing acute. The client is prescribed a vestibular suppression. Which medication with the nurse anticipate being used
Meclizine
Which test uses a tuning fork shifted between two positions to assess hearing
Rinne
Which nursing diagnosis takes highest priority for a client admitted for evaluation for Ménière's disease
Risk for injury related to vertigo
A parent of a young client with severe hearing loss is quite concerned about the chance future independence because of hearing impairment. Which type of hearing loss is usually irreversible
Sensorineural
During his annual physical examination out of airplane mechanic reports noticeable hearing loss. The nurse practitioner prescribe the series of hearing test to confirm or rule out noise induced hearing loss which is classified as a
Sensorineural loss
Post operative nursing assessment for a patient who has had a mastoidectomy should include observing for facial paralysis, which might indicate damage to which cranial nerve
Seventh
A nurse is obtaining subjective data for my client with difficulty hearing. What should the nurse do to facilitate communication with a claim select all that apply
Speak clearly at a normal pace. Ensure there is adequate natural or artificial lighting. Promote a clear image of the nurses mouth. Face the client when speaking.
Play, I've been diagnosed with otosclerosis. The nurse explains a client that this is a common cause of hearing impairment among adults, and is the result of a bony overgrowth
Stapes
Which of the following is a treatment of choice for acoustic neuroma's
Surgery
Which phrase defines ossiculoplasty
Surgical reconstruction of the middle ear bones
A client who has a lengthy history of aggressive hearing loss is very fourth writing about the condition, and the nurse wants to develop a communication strategy for the School linds Hospital stay. Which communication strategy has we're going to be the most effective.
The one the client will use
Which statement describes paroxysmal positional vertigo
The vertigo is usually accompanied by nausea and vomiting
What aspects should the nurse closely monitor for in clients who have been administered salicylates, loop diuretics, quinidine, quinine or aminoglycosides
Tinnitus and sensorineural hearing loss
My client undergoing mastoid surgery as a nurse about the pain following the surgery. Which response by the nurse is appropriate.
Usually the incisional pain is mild and controlled by the prescribed medication for the first 24 hours
Acoustic neuromas are benign Tumors of which of the following cranial nerves
VIII
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.
VIII
Which manifestation is most problematic for the client diagnosed with menierr disease
Vertigo
What's instructions regarding swimming? Should the nurse give to a client who is recovering from Otitis externa?
Wear soft plastic earplugs
a nurse is assessing a clients hearing using the written test. When providing instructions to elicit client feedback which instruction is essential
What is your hand when you no longer here sounds
A client is diagnosed as having Sarasota's media. When the screen is condition to the client, which of the following would be most accurate
Yes, some fluid that has collected in your middle ear but no infection
High doses of which medication can produce bilateral tinnitus
aspirin
The nurse is instructing clansman by most anticipating symptom of Ménière's disease. Which nursing instruction associated with a Symptom is most helpful
assist the client when ambulating
Which of the following brain structures is responsible for equilibrium
cerebellum
Which term refers to an altered sensation of orientation in space
dizziness
If untreated, squamous cell carcinoma of the external ear can spread through the temporal bone, causing
facial nerve paralysis
Which condition refers to hearing loss associated with degenerative changes
presbycusis