Question 1

Which patient problem should take priority in planning care for a patient with Ménière disease?

Accepted Answer

A)  Decreased socialization 
B)  Potential injury 
C)  Fluid volume deficit 
D)  Inadequate nutrition 
A)  Decreased socialization 
B)  Potential injury 
C)  Fluid volume deficit 
D)  Inadequate nutrition B

Question 2

A 75-year-old patient reports having difficulty hearing in crowds but can hear just fine at home with his wife.What hearing disorder should the nurse suspect?

Accepted Answer

A)  Otitis media 
B)  Presbycusis 
C)  Ototoxicity 
D)  Central deafness 
A)  Otitis media 
B)  Presbycusis 
C)  Ototoxicity 
D)  Central deafness B

Question 3

A young woman being admitted to the clinic service states that all the members of her family have been hard of hearing.She says her hearing loss became more pronounced when she was pregnant.What term explains this type of hearing loss?

Accepted Answer

A)  Otosclerosis 
B)  Ototoxicity 
C)  Otalgia 
D)  Otitis media 
A)  Otosclerosis 
B)  Ototoxicity 
C)  Otalgia 
D)  Otitis media A

Question 4

During an intake physical examination, a patient reports that he has been taking 10 aspirin tablets a day for his arthritis.What question should the nurse ask based on this information?

Accepted Answer

A)  "Can you hear high-pitched sounds?" 
B)  "Have you noticed deafness in just one ear?" 
C)  "Do you have ringing in your ears?" 
D)  "Do you experience dizziness when you stand?" 
A)  "Can you hear high-pitched sounds?" 
B)  "Have you noticed deafness in just one ear?" 
C)  "Do you have ringing in your ears?" 
D)  "Do you experience dizziness when you stand?"

Question 5

What information should a nurse stress when teaching a patient with Ménière disease about managing the disorder?

Accepted Answer

A)  Limiting fluid intake 
B)  Avoiding the use of alcohol and tobacco 
C)  Using antiemetic medications sparingly 
D)  Staying active during the day 
A)  Limiting fluid intake 
B)  Avoiding the use of alcohol and tobacco 
C)  Using antiemetic medications sparingly 
D)  Staying active during the day

Question 6

______ is the creation of a small opening in the tympanic membrane to reduce pressure and allow fluid to drain.

Accepted Answer

The answer of ______ is the creation of a small...

Question 7

______ are often formed when excess cells accumulate in a cyst or sac formed near the tympanic membrane.

Accepted Answer

The answer of ______ are often formed when excess cells...

Question 8

A 94-year-old patient is receiving gentamicin sulfate (Garamycin)in a continuous intravenous (IV)infusion.The nurse adds to the nursing care plan the patient problem "Potential injury." What nursing action should be implemented?

Accepted Answer

A)  Pull side rails in place. 
B)  Assist with ambulation. 
C)  Measure intake and output. 
D)  Provide for a possible seizure. 
A)  Pull side rails in place. 
B)  Assist with ambulation. 
C)  Measure intake and output. 
D)  Provide for a possible seizure.

Question 9

A patient comes to the primary care clinic complaining of a head cold and ear pain with drainage.What should the nurse suspect this patient is experiencing?

Accepted Answer

A)  Otitis externa 
B)  Hearing loss 
C)  Acute otitis media 
D)  Mastoiditis 
A)  Otitis externa 
B)  Hearing loss 
C)  Acute otitis media 
D)  Mastoiditis

Question 10

What should a nurse include when educating a patient with Ménière disease?

Accepted Answer

A)  "When you feel dizzy, just stay in bed and take your medications." 
B)  "Decrease your sodium intake and take your diuretic medication between attacks." 
C)  "Vestibular rehabilitation might help, and you can still drink your morning coffee." 
D)  "Your vertigo will get better if you take your medications.You won't need any relaxation techniques." 
A)  "When you feel dizzy, just stay in bed and take your medications." 
B)  "Decrease your sodium intake and take your diuretic medication between attacks." 
C)  "Vestibular rehabilitation might help, and you can still drink your morning coffee." 
D)  "Your vertigo will get better if you take your medications.You won't need any relaxation techniques."

Question 11

A 75-year-old patient reports to a nurse that although she has cleaned her ears with cotton-tipped applicators for weeks, she still cannot hear her television unless the volume is loud, and she misses a great deal of conversations.What should the nurse anticipate when examining her ears?

Accepted Answer

A)  Otitis externa 
B)  Purulent drainage 
C)  Dry cerumen across the canal 
D)  Pearly tympanic membrane 
A)  Otitis externa 
B)  Purulent drainage 
C)  Dry cerumen across the canal 
D)  Pearly tympanic membrane

Exam 60: Ear and Hearing Disorders

Which patient problem should take priority in planning care for a patient with Ménière disease?

A 75-year-old patient reports having difficulty hearing in crowds but can hear just fine at home with his wife.What hearing disorder should the nurse suspect?

A young woman being admitted to the clinic service states that all the members of her family have been hard of hearing.She says her hearing loss became more pronounced when she was pregnant.What term explains this type of hearing loss?

During an intake physical examination, a patient reports that he has been taking 10 aspirin tablets a day for his arthritis.What question should the nurse ask based on this information?

What information should a nurse stress when teaching a patient with Ménière disease about managing the disorder?

______ is the creation of a small opening in the tympanic membrane to reduce pressure and allow fluid to drain.

______ are often formed when excess cells accumulate in a cyst or sac formed near the tympanic membrane.

A 94-year-old patient is receiving gentamicin sulfate (Garamycin)in a continuous intravenous (IV)infusion.The nurse adds to the nursing care plan the patient problem "Potential injury." What nursing action should be implemented?

A patient comes to the primary care clinic complaining of a head cold and ear pain with drainage.What should the nurse suspect this patient is experiencing?

What should a nurse include when educating a patient with Ménière disease?

A 75-year-old patient reports to a nurse that although she has cleaned her ears with cotton-tipped applicators for weeks, she still cannot hear her television unless the volume is loud, and she misses a great deal of conversations.What should the nurse anticipate when examining her ears?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Psychobiological Disorders

Substance Abuse

First Aid, Emergency Care, and Disaster Management

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