NCLEX_PN

A perforated eardrum is suspected in a client who was hit in the ear with a basketball. A tympanoplasty was performed. The nurse is giving the client discharge instructions. Which client statement indicates a need for further teaching? 1. I will cough or sneeze with my mouth open." 2."I won't be able to fly to attend a wedding next week." 3."I will keep my ear dry for the next 4 to 6 weeks." 4."I will drink from the plastic bottle mouth since I can't use drinking straws."

"I will drink from the plastic bottle mouth since I can't use drinking straws."

A client with a history of ear problems telephones the ambulatory care nurse to cancel an appointment because he will be away on business. The client mentions that he will be flying during this trip. The nurse advises the client to engage in which activities to prevent barotrauma during takeoff and landing

1. Chewing gum 2.Yawning occasionally 3.Swallowing a few times 4Sucking on a piece of hard candy

A caloric test is prescribed for a client suspected of having a disease of the labyrinth. The nurse obtains which essential item in preparation for this test? 1.An otoscope 2.A tongue blade 3.An emesis basin 4.An ophthalmoscope Incorrect

1.An otoscope

The nurse is assisting the primary health care provider in performing a caloric test on a client. Following instillation of cool water into the ear, the nurse observes the presence of nystagmus. The nurse should document the findings of this test as indicative of which result? 1.Normal 2.Positive 3.Abnormal 4.Inconclusive

1.Normal

The nurse is assisting the primary health care provider in performing a caloric test on a client. Following instillation of warm water into the ear, the client complains of vertigo. The nurse documents the findings of this test as indicative of which result? 1.Normal 2.Positive 3.Abnormal 4.Inconclusive

1.Normal

The nurse is preparing to instill an otic solution into the adult client's right ear. The nurse should include which action while performing this procedure? Select all that apply. 1.Pulling the auricle of the right ear upward 2.Pulling the auricle of the right ear backward 3.Warming the solution to room temperature 4.Placing the client in a left side-lying position 5.Stabilizing the dropper's tip to the edge of the ear canal.

1.Pulling the auricle of the right ear upward 2.Pulling the auricle of the right ear backward 3.Warming the solution to room temperature 4.Placing the client in a left side-lying position

The nurse is assisting a primary health care provider in performing a caloric test on a client. Following instillation of warm water into the ear, the nurse notes that nystagmus does not occur. The nurse should document the findings of this test as indicative of which result? 1.Normal 2.Positive 3.Inconclusive 4.Requiring a repeat test

2.Positive

An adult client with a history of ear infections reports a right earache accompanied by a sensation of fullness. The client also reports nausea and has a temperature of 100.6° F. The nurse questions the client about which aspect of the client's history? 1.Whether any medications have relieved the pain 2.Whether there is a history of recent head injury 3.Whether the client hears a ringing in the affected ear 4.Whether the client has had a recent upper respiratory infection (URI)

4.Whether the client has had a recent upper respiratory infection (URI)

A nursing instructor asks a student about cochlear implants. The student understands that which clients are candidates for such a procedure? Select all that apply.

bilateral profound hearing loss, the client who communicates primarily by speech, the client who receives no benefit from conventional hearing aids,

Signs and symptoms of mastoiditis

swelling (directly behind the ear) and soreness, headache, malaise, and an elevated white blood cell (WBC) count.

The nurse is assisting in developing a plan of care for a client following the surgical removal of an acoustic neuroma. Which assessment will be included in the plan of care for this specific intervention?

Assessment of cranial nerve VII (facial)