Deck 44: Ear Disorders

Question 1

While reviewing the laboratory reports of a client who presented with hearing loss, a nurse finds the presence of inflammation in the membranous labyrinth. The client also reports dizziness and loss of balance. Which treatment strategy should the nurse anticipate to be most beneficial to the client?
1) Tympanostomy
2) Destructive surgery
3) Antibiotic and meclizine
4) Analgesic and antipyretic

Answer 1

3

Question 2

After multiple follow-up visits, a nurse finds that a client who has otitis media has not improved using an initial treatment regimen. The nurse finds that the client has persistent otitis media for 12 weeks. What test will likely be ordered for this client?
1) A Romberg test
2) A low-salt diet
3) A tympanostomy
4) Destructive surgery

Answer 2

3

Question 3

Which auditory ossicle connects to the upper portion of the tympanic membrane?
1) Incus
2) Stapes
3) Malleus
4) All of the above

Answer 3

3

Question 4

While examining a client's ear through a pneumatic otoscope, a nurse finds decreased movement of the tympanic membrane in the client. On further assessment, the nurse finds pharyngeal erythema and rhinorrhea in the client. What should be the accurate nursing intervention for the client?
1) Obtaining a specimen for a throat culture
2) Providing a low-fluid diet to the client
3) Preparing the client for a magnetic resonance imagining (MRI) scan
4) Using a Meniett device to alleviate the symptoms

Question 5

While assessing a client, a nurse finds that the client's external ear has an altered function. Which finding in the client supports the nurse's finding?
1) The client has a damaged cochlea.
2) The client has a damaged eardrum.
3) The client has a damaged Eustachian tube.
4) The client has damaged auditory ossicles.

Question 6

Which component separates the two labyrinths from each other?
1) Sebum
2) Cerumen
3) Perilymph fluid
4) Endolymph fluid

Question 7

During a client assessment, a client reports a loss of hearing to a nurse. The nurse also finds an increased volume of endolymph fluid in the inner ear. Which instruction should the nurse tell the client?
1) "You should eat a low-salt diet."
2) "You should eat a low-iron diet."
3) "You should eat a low-protein diet."
4) "You should eat a low-carbohydrate diet."

Question 8

While assessing a client who has a hearing difficulty, a nurse finds the accumulation of yellow-brown colored earwax in the client's ear canal. What should be the accurate nursing intervention for the client?
1) Clean the earwax with tissue paper.
2) Irrigate or use a curette to remove the earwax.
3) Use a cotton-tipped applicator to clean the earwax.
4) Remove the earwax with small surgical forceps.

Question 9

A client in an airplane reports to the flight nurse that he or she is unable to hear any sounds after takeoff of the flight. What should the flight nurse anticipate from the client's statement?
1) The Eustachian tube is damaged in the client.
2) Cranial nerve V is damaged in the client.
3) Cranial nerve I has an altered function in the client.
4) The stapes is sealed with the annular ligament in the client.

Question 10

While assessing a child, a nurse finds that the child has otitis media. Which other finding in the child should the nurse associate with otitis media?
1) Kidney infection
2) Vaginal infection
3) Gastrointestinal infection
4) Upper respiratory tract infection

Question 11

While reviewing the magnetic resonance imaging (MRI) reports of a client who has a hearing impairment, a nurse finds the presence of a tumor that is associated with the auditory nerve. On further assessment, the nurse finds that the client is positive for the Romberg test. What should the nurse anticipate in the client?
1) The client has otitis media.
2) The client has labyrinthitis.
3) The client has Meniere's disease.
4) The client has vestibular schwannoma.

Question 12

After reviewing the magnetic resonance imaging (MRI) reports of a client, a primary health-care provider instructs a nurse to schedule the client for surgery. Which condition in the client would likely be responsible for this instruction?
1) Otitis media
2) Labyrinthitis
3) Meniere's disease
4) Vestibular schwannoma

Question 13

Which part of the ear conducts sound waves to the tympanic membrane?
1) Inner ear
2) Middle ear
3) External ear
4) All of the above

Question 14

While reviewing the laboratory reports of a client, a nurse finds that the client's ear secretions show the presence of Staphylococcus aureus and Pseudomonas bacterial strains. The client has pain, tenderness, and itching on the auricle. What should the nurse infer from these findings?
1) The client has otitis externa.
2) The client has labyrinthitis.
3) The client has Meniere's disease.
4) The client has vestibular schwannoma.

Question 15

Which part of the ear aids in proprioception?
1) Inner ear
2) Middle ear
3) External ear
4) All of the above

Question 16

A nurse is teaching care measures to be followed by a client who has otitis externa. Which instruction by the nurse would be most beneficial to the client?
1) "You should use ear plugs while you are bathing."
2) "You should avoid covering your ears while bathing."
3) "You should clean your ears with a small amount of water."
4) "You should keep cotton balls in your ears while bathing."

Question 17

Which cranial nerve senses the flow of endolymph fluid in the ear?
1) Cranial nerve I
2) Cranial nerve V
3) Cranial nerve VIII
4) Cranial nerve XII

Question 18

While reviewing the laboratory reports of a client, a nurse finds an increased volume of endolymph fluid in the inner ear. On further examination, the nurse finds that the client is positive for the Romberg test. Which pathological condition should the nurse anticipate in the client?
1) Otitis media
2) Labyrinthitis
3) Meniere's disease
4) Vestibular schwannoma

Question 19

While caring for an older adult client, a nurse finds that the client is in the initial stage of presbycusis. Which instruction by the nurse to the client's family member would be most beneficial to the client?
1) "You should limit conversation with the client."
2) "You should borrow a used hearing aid for the client."
3) "You should use gestures while talking to the client."
4) "You should make an appointment with an audiologist for the client."

Question 20

Which level of sound intensity can result in hearing loss in clients?
1) 10 decibels
2) 20 decibels
3) 60 decibels
4) 90 decibels

Question 21

After assessing an older adult client and reviewing the laboratory reports of the client, a nurse confirms that the client is suffering from presbycusis. Which findings in the client would support the nurse's confirmation?
1) Age that is older than 50 years
2) Red tympanic membrane
3) Loss of hair cells in the cochlea
4) Increased volume of endolymph fluid in the inner ear
5) Inflammation of the membranous labyrinth

Question 22

A mother of a child reports to the nurse that her child looks irritated, tugs the ear, and has poor feeding behaviors. On assessment, the nurse finds that the child has a red and bulged tympanic membrane. Which other findings in the child would the nurse mostly likely observe?
1) Vomiting
2) Yellow skin
3) Runny nose
4) Hypothermia
5) Whooshing of ear drainage

Question 23

A nurse is examining the membranous labyrinth in a client's ear. Which parts of the client's ear should the nurse mainly observe during the examination?
1) Utricle
2) Saccule
3) Scala media
4) Scala tympani
5) Scala vestibule

Question 24

After reviewing the laboratory reports of a child, a nurse finds the presence of a middle ear infection in the child. Which bacterial strains listed in the laboratory reports of the child should the nurse mainly expect to find?
1) Bacillus anthracis
2) Treponemapallidum
3) Moraxella catarrhalis
4) Haemophilus influenza
5) Streptococcus pneumonia

Question 25

A client reports hearing loss to a nurse. On assessment, the nurse finds that the client has Meniere's disease. Which statements should the nurse anticipate from the client?
1) "I feel like falling while walking."
2) "My appetite has increased lately."
3) "My room is spinning around me."
4) "I hear buzzing and ringing sounds in my ear."
5) "I feel like someone is calling me frequently."