chp 19-20 final

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." "Increase intake of red wine to two glasses per day twice a week." "You can drink one serving of caffeine a day and one cola." "There are no dietary restrictions that you have to follow."

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

Which hearing test would be prescribed to help differentiate conductive from sensorineural hearing loss? A Weber (tuning fork) test A simple whisper test by the examiner An auditory brain stem-evoked response (ABR) An audioscopic nerve impulse examination

A Weber (tuning fork) test A Weber test can be used to differentiate sensorineural hearing loss from conductive hearing loss. The test is performed using a tuning fork and is noninvasive. Audioscopes can be used to assess a person's ability to hear pure tones. ABRs determine the site of a lesion and the extent of damage Chapter 20: Disorders of Hearing and Vestibular Function - Page 526

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 medication? Acetylsalicylic acid (aspirin) Acetaminophen Vitamin C Potassium chloride

Acetylsalicylic acid (aspirin) Tinnitus ("ringing in the ears") may be caused by aspirin.

A client is having difficulty with balance. The nurse understands that the area of the ear that impacts balance is: Tympanic membrane Cochlea Vestibular apparatus Malleus

Ans: Vestibular apparatus The vestibular system maintains and assists the recovery of stable body and head position and balance through control of postural reflexes. The vestibular system includes three semicircular canals.

Although both vertigo and dizziness can result from peripheral or central vestibular disorders, vertigo is distinctly different because it causes: light-headedness. an illusion of motion. loss of consciousness. permanent hearing loss.

Ans: an illusion of motion. Vertigo or dizziness can result from peripheral or central vestibular disorders (proprioception) unrelated to hearing loss. Vertigo is a vestibular disorder in which a unique illusion of motion occurs.

A client reveals that, when in bed, changes in head position cause brief periods of vertigo, usually lasting less than 1 minute. Which condition is the client most likely experiencing? Benign paroxysmal positional vertigo Stress-induced vertigo Normal position change Manifestations of a cerebellar tumor

Benign paroxysmal positional vertigo

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 Chronic ear drainage Severe pain in the mastoid area Fluid in the inner ear without infection

Difficulty hearing high-pitched frequencies

The educator of a geriatric unit is orienting new staff and is teaching strategies on communicating with older adults with impaired hearing. Which teaching point is most appropriate? "Ensure that the hearing aid is in place, turned on, and properly functioning." "Avoid complex or abstract ideas when you are talking." "Increase the volume of your speech as much as possible." "Choose simple, short words to minimize confusion."

Ensure that the hearing aid is in place, turned on, and properly functioning."

The parents of a 1-month-old child are concerned because the child does not always look toward them when they speak. What assessment does the nurse expect the provider to conduct? Hearing screening Weber test Cochlear stimulation Audiogram

Hearing screening Hearing loss in infants, no matter the degree, can affect language development. Therefore, the recommendation is that all infants have hearing screening by the age of 1 month.

The nurse is conducting a community education class on acute otitis media. Which statement by the participants indicates to the nurse that they understand the education? It is another name for swimmer's ear. It can be caused by a bacterial infection. Breast-fed babies have a higher incidence of this condition. The tympanic membrane appears cloudy.

It can be caused by a bacterial infection.

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 hearing loss, vertigo, and tinnitus. -Meniere disease is a disorder of the middle ear due to constriction of the endolymphatic compartment of the inner ear, causing hearing loss. -Meniere disease is a bacterial infection of the outer inner ear due to distention of the endolymphatic compartment. -Meniere disease is a disorder of the inner ear due to distention of the endolymphatic compartment of the inner ear; the client will be asymptomatic.

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

The nurse is caring for an older adult client with a suspected diagnosis of presbycusis. Select the most likely manifestation. Sensorineural hearing loss caused by natural aging Buzzing or ringing in the ears Feeling of continuous pressure in both ears Feeling a continuous drainage coming from both ears

Sensorineural hearing loss caused by natural aging. Presbycusis is a common report among older adults. It is manifested by the inability to hear what is being said in a conversation. Pressure may result from increased fluid, and buzzing or ringing may be a complication of medication. Chapter 20: Disorders of Hearing and Vestibular Function - Page 524

Otosclerosis is a condition where spongy, pathologic bone grows around the stapes and oval window. Which surgical treatment may be performed for otosclerosis? Otosclerotomy Tympanectomy Stapedectomy Amplification surgery

Stapedectomy - Because much of the conductive hearing loss associated with otosclerosis is caused by stapedial fixation, surgical treatment involves stapedectomy with stapedial reconstruction using the client's own stapes or stapedial prosthesis.

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? Audioscope Audiometer Tone analysis Tuning fork

Tuning forks- are used to differentiate conductive and sensorineural hearing loss. Audioscope, audiometer, and tone analysis do not differentiate between conductive and sensorineural hearing loss.

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 Re-treating with a stronger antibiotic Monitoring for complications of OM The child will need a hearing aid.

Tympanostomy tube insertion Tympanostomy tubes should be the next course of action with the child having hearing loss and OM persisting for 4 months or longer. The parents should be taught to continue to monitor for signs of OM. Chapter 20: Disorders of Hearing and Vestibular Function - Page 518

The nurse is preparing a client for a surgical procedure to create an endolymphatic shunt. The nurse understands that this procedure aims to relieve which symptom? Vertigo Otalgia Diplopia Strabismus

Vertigo Chapter 20: Disorders of Hearing and Vestibular Function - Page 531

The nurse understands that movement of otoliths may result in: vertigo and nystagmus. severe otalgia. permanent hearing loss. inability to hear high-pitched frequencies.

vertigo and nystagmus. Movement of the otoliths or free-floating debris causes the vestibular system to become more sensitive, such that any movement of the head in the plane parallel to the posterior duct may cause vertigo and nystagmus.