Chapter 59: Assessment and Management of Patients with Hearing and Balance Disorders PREPU

A nurse is performing an otoscopic examination on a client. Which finding would the nurse document as abnormal?

External auditory canal erythema

Which manifestation is most problematic for the client diagnosed with Ménière disease?

Vertigo

A client has a history of hearing loss and is returning for an annual hearing examination. During client education, the nurse explains that hearing involves which areas of the ear?

all sections

A client is being evaluated after noticing a decline in hearing. The client's level of hearing loss will be determined by a hearing test administered by an audiologist. The description of hearing loss is based on the:

intensity of the first heard sound.

Which type of hearing loss is most likely to be caused by frequent ear infections?

sensorineural

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."

Which is a correct rationale for encouraging a client with otitis externa to eat soft foods?

Chewing may cause discomfort.

Health teaching for a patient who suffers from motion sickness would include recommending the use of which one of the following over-the-counter drugs?

Dramamine

A nursing instructor is teaching pre-nursing students in a pathophysiology class. What would the instructor teach the students about Ménière's disease?

It is referred to as endolymphatic hydrops.

The nurse is developing a plan of care for a client with Meniere's disease and identifies a nursing diagnosis of excess fluid volume related to fluid retention in the inner ear. Which intervention would be most appropriate to include in the plan of care?

Limit foods that are high in sodium.

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

Nystagmus

Which terms refers to the progressive hearing loss associated with aging?

Presbycusis

The nurse is examining the area behind the patient's auricle and sees a flaky scaliness. What disorder does the nurse suspect the patient has?

Seborrheic dermatitis

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?

Seventh

The nurse knows which statements are consistent with acute otitis media? Select all that apply

The infection usually lasts less than 6 weeks. A purulent exudate is usually present in the middle ear. Conductive hearing loss may occur.