Question 1

The nurse is instilling eardrops into a client's ear.Place the following in order according to best practice.(Separate letters by a comma and space as follows: a,b,c,d.)
A) Ask the client to move the head gently back and forth five times.
B) Wash your hands.
C) Wear gloves to remove any packing from the ear.
D) Perform an otoscopic examination to see if the eardrum is intact.
E) Irrigate the ear if needed to remove cerumen.
F) Tilt the client's head in the opposite direction of the affected ear and place the drops in the affected ear.
G) Warm the bottle of eardrops in a bowl of warm water for 5 minutes.
H) Wash your hands again.
I) Insert a ball of cotton in the ear as packing.

Accepted Answer

The answer of The nurse is instilling eardrops into a...

Question 2

Which client statement indicates that the client understands teaching about stapedectomy surgery?

Accepted Answer

Postoperative swelling and packing in the ear will result in reduced hearing ability for the first few weeks after surgery.When the swelling subsides and the packing is removed,hearing will improve.The client should not get water in the ear for the first 6 weeks after surgery.Damage to or swelling of the facial nerve may result in postoperative loss of taste sensation.Vertigo is common after stapedectomy because of close proximity to inner ear structures.Blowing the nose should be avoided to prevent increased pressure within the ear.

Question 3

Which of the nurse's assessment findings will require collaboration with the client's primary health care provider?

Accepted Answer

Purulent drainage in the ear canal indicates a middle ear infection with a ruptured tympanic membrane.Hearing loss with vertigo and nausea indicates labyrinthitis.Furosemide is ototoxic.Fever following stapedectomy is most likely caused by infection inside the ear.Ringing in the ears following exposure to loud noise is a common symptom,which should resolve spontaneously.Nonimpacted cerumen may be left alone if it is not impairing the client's hearing.

Question 4

The nurse is caring for a 132-lb client with an ear infection who is to receive amoxicillin,40 mg/kg/day in divided doses every 8 hours.The nurse will administer ____ mg/dose of amoxicillin to the client.

Accepted Answer

The answer of The nurse is caring for a 132-lb...

Question 5

A client has mastoiditis.The nurse assesses most carefully for which manifestations?

Accepted Answer

Common signs and symptoms of mastoiditis include enlarged lymph nodes behind the ear,low-grade fever,malaise,loss of hearing,and loss of appetite.When the eardrum is red and bulging and a crackling sound is heard upon yawning,the client is usually diagnosed with otitis media.

Quiz 51: Care of Patients With Ear and Hearing Problems

Which client statement indicates that the client understands teaching about stapedectomy surgery?

Which of the nurse's assessment findings will require collaboration with the client's primary health care provider?

The nurse is caring for a 132-lb client with an ear infection who is to receive amoxicillin,40 mg/kg/day in divided doses every 8 hours.The nurse will administer ____ mg/dose of amoxicillin to the client.

A client has mastoiditis.The nurse assesses most carefully for which manifestations?