Exam 52: Ear and Hearing Disorders

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Because the 94-year-old patient is receiving gentamicin sulfate (Garamycin)in a continuous intravenous (IV)infusion,the nurse will add to the nursing care plan the diagnosis,"Risk for injury" and will make implementation of:

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C

The nurse uses a diagram to show the physiologic sequence of hearing.After entering the external ear,the sound is then conducted through the: (Arrange the options in sequence.) A) Tympanic membrane B) Sensory receptors C) Oval window D) Acoustic nerve to the brain E) Malleus, incus, and stapes

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A,E,C,B,D
The sound impulse,after entering the external ear,is conducting through the tympanic membrane; into the malleus,incus,and stapes; through the oval window; into the sensory receptors in the inner ear; and then through the acoustic nerve to the brain.

The nursing diagnosis that would be most appropriate for a patient having ear surgery is:

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B

The 75-year-old patient has normal age-related changes in his ear that include all except:

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The nurse assisting with a caloric test notes the specific patient response that indicates that the hearing disorder is a problem in the labyrinth,which is:

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The nurse has noted some common characteristics in patients with conductive hearing loss,which are evident when the patient:

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A patient with diabetes says that he needs a hearing aid because he cannot hear well and everything sounds garbled and distant.The nurse's most informative response would be that a hearing aid may not help him because he probably has:

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When irrigating a patient's ear,the nurse will:

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A 75-year-old patient reports having difficulty hearing in crowds but can hear just fine at home with his wife.The nurse responds that,"Your description sounds like _______________."

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When the nurse reads in the patient's history that the patient has experienced otalgia,the nurse knows that the patient has:

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The 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.You suspect that this patient has a type of hearing loss called:

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Patient teaching for a patient with Ménière disease includes:

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The patient undergoing a Weber test says that the sound is louder in her left ear.This means that the patient has:

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When a patient has a suspected vestibular disorder,the physician orders an electronystagmography test.The nursing instruction for this test will include:

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In planning care for a child who has been diagnosed with a hearing impairment and considering the impact of a hearing deficit,the nursing diagnosis that would be appropriate would be:

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For the nursing care plan for a patient with Ménière disease,the nursing diagnosis that would take priority would be:

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Because the 85-year-old patient has had age-related changes in the cochlea,the nurse will:

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A patient comes to the primary care clinic complaining of a head cold and ear pain with drainage.The nurse realizes that this patient may be experiencing:

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The nurse assessing the results of a Rinne test sees the notation of BC >AC.The nurse translates this to mean that the patient has:

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The 75-year-old patient complains to the 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.On examining her ears,the nurse anticipates:

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