Exam 16: Ears

The mother of a 2-year-old is concerned about tympanostomy tubes that are going to be inserted in her son's ears.Which of the following would the nurse include in the teaching plan?

During ear examination,the patient reports that he is hears a buzzing sound that is "driving me crazy!" The nurse recognizes that this symptom is:

A 31-year-old patient tells the nurse that he has noticed pain in his left ear when people speak loudly to him.The nurse knows that this finding:

Which of the following statements about air conduction is true?

Which of the following statements about otoscopic examination of a newborn would be true?

During an assessment of a 20-year-old Aboriginal patient,the nurse notices that he has dry,flaky cerumen in his ear canal.What is the significance of this finding?

The nurse is testing the hearing of a 78-year-old man.Which of the following age-related hearing changes should the nurse keep in mind? (Select all that apply. )

Which of the following signs would the nurse expect to find on assessment of an individual with otitis externa?

Tests have shown that a patient has sensorineural hearing loss.During the assessment,it would be important for the nurse to:

The nurse is examining a patient's ears and notices cerumen in the external canal.Which of the following statements about cerumen is correct?

An assessment of a 23-year-old patient reveals the following: an auricle that is tender and reddish blue in colour and has small vesicles.What additional information would the nurse need to know?

The nurse suspects that a patient has otitis media.Which of the following findings of the tympanic membrane are early signs of otitis media?

The nurse is assessing a 16-year-old patient with head injuries from a recent motor vehicle accident.Which of the following statements indicates the most important reason for assessing for any drainage from the canal?

A 70-year-old patient reports to the nurse that he is having trouble hearing,especially when he is in large groups.He says he "can't always tell where the sound is coming from" and the words often sound "mixed up." What might the nurse suspect as the cause for this?

The nurse is assessing the hearing of a 7-month-old.What would be the expected response to clapping of hands?

During an interview,the patient says that he experiences a sensation as if "everything around him is spinning." The nurse recognizes that the portion of the ear responsible for this sensation is:

When performing an otoscopic examination on a 5-year-old child with a history of chronic ear infections,the nurse sees that his right tympanic membrane is amber-yellow in colour and there are air bubbles behind the tympanic membrane.The child reports occasional hearing loss and a popping sound with swallowing.The preliminary analysis based on this information would be that:

Which of the following cranial nerves (CNs)is responsible for conducting nerve impulses to the brain from the organ of Corti?

The mother of a 2-year-old is concerned because her son has had three ear infections in the past year.Which of the following would be an appropriate response by the nurse?

While performing the otoscopic examination of a 3-year-old boy who has been pulling on his left ear,the nurse finds that his left tympanic membrane is bright red and the light reflex is not visible.The most likely cause is: