Chapter 64

A ___________ implant is an auditory prosthesis used for people with profound sensorineural hearing loss bilaterally who do not benefit from conventional hearing aids.

Cochlear

If untreated, squamous cell carcinoma of the external ear can spread through the temporal bone causing which of the following?

Facial nerve paralysis

The most effective strategy for communicating with a patient with a high-frequency hearing loss is to speak loudly into the ear with the most significant deficit.

False

When using the otoscope to examine the ear of an adult, the nurse should gently pull the auricle up and forward to promote visualization of the tympanic membrane.

False

The nurse is talking with a patient diagnosed with Ménière's disease about the patient's symptoms. What symptom does the patient inform the nurse is the most troublesome?

Vertigo

A client has been diagnosed with otosclerosis. The nurse explains to the client that this is a common cause of hearing impairment among adults and is the result of a bony overgrowth of the:

stapes

The middle ear contains the three smallest bones of the body: the malleus, the incus and the _____________.

stapes

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?

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

_____________ hearing loss is caused by external or middle ear problems and _____________ hearing loss is caused by damage to the cochlear or vestibulocochlear nerve.

1)Conductive 2) Sensorineural

Which portion of the middle ear equalizes pressure?

Eustachian tube

A nurse is preparing to perform the whisper test to assess a client's gross auditory acuity. Which of the following would be most appropriate for the nurse to do?

Stand about 1 to 2 feet away from the ear to be tested.

Early symptoms of hearing loss include ______________, perception of sound often described as "ringing in the ears."

Tinnitus

Otalgia is a sensation of fullness or pain in the ear.

True

The Weber test assesses bone conduction of sound and the Rinne test assesses both air and bone conduction of sound.

True

Vertigo is usually the most troublesome complaint related to Méniére disease.

True

The most common surgical procedure for chronic otitis media is _______________.

Tympanoplasty