Deck 43: Caring Forclients With Ear Disorders

Question 1

You are teaching the daughter how to instill ear drops of her father to remove impacted cerumen. What is a priority action to teach this woman?

A) Insert the irrigating syringe deeply.
B) Direct the flow of the ear drops toward the eardrum.
C) Refrigerate before instillation.
D) Place the container in warm water before instillation.

Answer 1

Place the container in warm water before instillation.

Question 2

There are several types of hearing loss. Which type of hearing loss benefits most from the use of a hearing aid?

A) Sensorineural
B) Conductive
C) Genetic
D) Acquired

Answer 2

Conductive

Question 3

The nurse is doing discharge teaching with a client newly diagnosed with Ménière's disease. Why would the nurse advise a low-sodium diet to this client?

A) To minimize the adverse effects of drug therapy
B) To reduce the magnitude of the hearing deficit
C) To minimize the risk of a tumor that involves the vestibulocochlear nerve
D) To reduce the production of fluid in the inner ear

Answer 3

To reduce the production of fluid in the inner ear

Question 4

A client you are caring for has a hearing loss. The client tells you they are self-conscious about their hearing loss. What advice should the nurse give a self-conscious client with hearing loss to protect his or her self-esteem?

A) Pretend to follow conversations by nodding the head.
B) Be forthright and inform others about the hearing deficit.
C) Follow lip movements closely.
D) Avoid excess socializing.

Question 5

You are admitting a client with an acoustic neuroma to your unit. What would you include during the assessment of this client?

A) Measure the client's urine output.
B) Note the client's height and weight.
C) Test the client's ability to sustain balance.
D) Test for facial sensation.

Question 6

When discussing diseases of the middle ear, the nursing instructor distinguishes the different types of otitis media. What generally causes purulent otitis media?

A) Irritation associated with respiratory allergies and enlarged adenoids
B) Bronchial tree
C) Outer ear
D) Upper respiratory infections

Question 7

A nurse is doing discharge teaching with a client who is hearing impaired. What is the best way to make sure the client understands the teaching?

A) Speak slowly
B) Use illustrations
C) Learn a second language
D) Mime

Question 8

Some clients with acoustic neuromas have vertigo. What is a priority nursing action with clients with vertigo?

A) Protect the client from injury.
B) Provide small meals of tepid food.
C) Mobilize the client at every opportunity.
D) Provide ice to the affected ear.

Question 9

When caring for a client status post ear surgery, what is an important aspect of nursing care?

A) Assess social support
B) Feed small frequent meals to minimize nausea
C) Fit for a hearing aid
D) Validate client's feelings of discomfort

Question 10

During a pharmacology class, the students are told that some drugs need to be closely monitored. What aspect should the nurse closely monitor for in clients who have been administered salicylates, loop diuretics, quinidine, quinine, or aminoglycosides?

A) Signs of hypotension
B) Reduced urinary output
C) Tinnitus and sensorineural hearing loss
D) Impaired facial movement

Question 11

When discussing clients with hearing deficits, the nursing instructor talks about alternative methods of communication. What method of communication would the instructor talk about?

A) Word symbols
B) Speech recognition
C) Picture board
D) Magic slate

Question 12

A client comes to the walk-in clinic complaining of a "bug in my ear." What action should be taken when there is an insect in the ear?

A) Instillation of mineral oil
B) Instillation of carbamide peroxide
C) Instillation of hot water
D) Use of a small forceps

Question 13

You are doing discharge teaching with a client after a stapedectomy. Why would it be important for you to advise the client to refrain from blowing the nose?

A) It may cause sudden headaches.
B) It may cause vertigo.
C) It may dislodge the prosthesis.
D) It may cause excessive drainage.

Question 14

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

A) It is referred to as endolymphatic hydrops.
B) It originates in the middle ear.
C) It is referred to as lymphatic hydrops.
D) It originates in the outer ear.

Question 15

An acoustic neuroma is a tumor, usually unilateral, that usually invade the cerebellar region and press on the brainstem. What are the symptoms of an acoustic neuroma? Select all that apply.

A) Impaired facial movement
B) Rapid hearing loss
C) Swelling of the ear canal
D) Tinnitus in the affected ear
E) Gradual hearing loss

Question 16

A nursing student is presenting a report on Ménière's disease to other members of their class. What symptom would the student list?

A) Pinkish-orange eardrum
B) Nystagmus of the eyes
C) Enlarged lymph nodes behind the ear
D) Swelling and redness in the auditory canal

Question 17

What kind of otitis media is a pathogen-free fluid behind the tympanic membrane, resulting from irritation associated with respiratory allergies and enlarged adenoids?

A) Purulent otitis media
B) Infectious otitis media
C) Serous otitis media
D) Sterile otitis media

Question 18

You are admitting a 30-year-old who has a hearing impairment. The client is accompanied by family members. What information would be important to ask the family members to help you care for your client?

A) How the client lost their hearing
B) What allergies the client has
C) The client's preferred method of communication
D) How much the client weighs

Question 19

You are teaching a class on diseases of the ear. What would you teach the class is the most characteristic symptom of otosclerosis?

A) The client being distressed in the mornings
B) A progressive, bilateral loss of hearing
C) A red and swollen ear drum
D) The client describing a history of having had a recent upper respiratory infection

Question 20

The nursing instructor is teaching their senior nursing class about the care of clients after ear surgery. What nursing action is important for a client who has undergone myringotomy?

A) Ensure that the client has plenty of fluids.
B) Ask the client to avoid coughing or sneezing.
C) Wipe the external ear with a dry, sterile cotton applicator.
D) Advise the client to wear a hat with earflaps, or a scarf, at all times.

Question 21

You are caring for a client who is post-stapedectomy. What would you include in your nursing care?

A) Placing the client on the operative side.
B) Keeping the affected ear packed with cotton.
C) Encourages the client to exercise within 24 hours.
D) Assessment of the facial nerve.

Question 22

The nurse caring for a client with Ménière's disease makes what primary assessments?

A) Ability to function
B) Social support
C) Gross hearing
D) Level of disability

Question 23

Otitis media is an infection of the middle ear. What symptoms are associated with otitis media? Select all that apply.

A) Fever
B) Severe earache
C) Vomiting
D) Diminished hearing
E) Nausea

Question 24

The nurse, caring for a client with Ménière's disease, needs to assist with what when the client is experiencing an attack?

A) Sleeping
B) ADLs
C) Coughing
D) URIs