Question 1

When teaching the patient with Ménière disease about managing the disorder,the nurse will stress:

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 2

When making the initial assessment on a patient with a hearing deficit,the patient reports that he often feels off balance and is dizzy when he stands up.These symptoms could be explained by:

Accepted Answer

A)  Sinus infection 
B)  Rubella 
C)  Otalgia 
D)  Presbycusis 
A)  Sinus infection 
B)  Rubella 
C)  Otalgia 
D)  Presbycusis

Question 3

On an intake physical examination,the patient reports that he has been taking 10 aspirin tablets a day for his arthritis.Based on this information the nurse should ask:

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 4

The nursing report on a newly admitted patient who is profoundly deaf says that the patient is confused and difficult to assess because she does not appropriately respond to questions or sometimes fails to respond at all.The oncoming nurse will initially:

Accepted Answer

A)  Consider asking the physician to assess the patient for dementia. 
B)  Assess the patient to determine whether her hearing aids are in. 
C)  Report to the physician that the patient is exhibiting signs of the sundown syndrome. 
D)  Assess the patient's medications to check for an overdose. 
A)  Consider asking the physician to assess the patient for dementia. 
B)  Assess the patient to determine whether her hearing aids are in. 
C)  Report to the physician that the patient is exhibiting signs of the sundown syndrome. 
D)  Assess the patient's medications to check for an overdose.

Question 5

The patient reports her hearing loss has become more severe over the last 3 months.The clinic nurse makes arrangements for an evaluation for a hearing aid by an:

Accepted Answer

A)  Otologist 
B)  Otolaryngologist 
C)  Audiometrist 
D)  Audiologist 
A)  Otologist 
B)  Otolaryngologist 
C)  Audiometrist 
D)  Audiologist

Question 6

When planning care for a patient who cannot perceive or interpret sounds,the nurse takes into consideration that the patient may have a ____________________ hearing loss.

Accepted Answer

Central
The inabilit

Question 7

Behaviors that would alert the nurse to a possible hearing deficit would be when the patient:

Accepted Answer

A)  Watches the speaker's mouth. 
B)  Gives inappropriate answers to questions. 
C)  Pulls at the ears. 
D)  Fails to respond when spoken to. 
E)  Turns the good ear to the speaker. 
A)  Watches the speaker's mouth. 
B)  Gives inappropriate answers to questions. 
C)  Pulls at the ears. 
D)  Fails to respond when spoken to. 
E)  Turns the good ear to the speaker.

Question 8

When providing patient-teaching information for a patient who will be self-administering ear drops for an ear infection,the nurse would instruct the patient to:

Accepted Answer

A)  Tip the affected ear up, and keep it in that position for several minutes after instilling the medication. 
B)  Keep the medication in the refrigerator to preserve it. Instill the medication with the affected ear tilted upward. 
C)  Touch the dropper to the opening of the ear canal to ensure that the drops are correctly instilled. 
D)  Warm the ear drops, and then tilt the head downward. 
A)  Tip the affected ear up, and keep it in that position for several minutes after instilling the medication. 
B)  Keep the medication in the refrigerator to preserve it. Instill the medication with the affected ear tilted upward. 
C)  Touch the dropper to the opening of the ear canal to ensure that the drops are correctly instilled. 
D)  Warm the ear drops, and then tilt the head downward.

Question 9

The patient complains that his hearing aid is not working.The nurse should assess the device by:

Accepted Answer

A)  Checking to see if the device is turned on. 
B)  Cleaning the earpiece, and removing cerumen clogged in the vent. 
C)  Opening the earpiece to see if the microphone wire is connected. 
D)  Examining the interior of the earpiece for water. 
E)  Validating that the battery is correctly placed. 
A)  Checking to see if the device is turned on. 
B)  Cleaning the earpiece, and removing cerumen clogged in the vent. 
C)  Opening the earpiece to see if the microphone wire is connected. 
D)  Examining the interior of the earpiece for water. 
E)  Validating that the battery is correctly placed.

Question 10

A significant instruction to a patient being discharged after ear surgery is to:

Accepted Answer

A)  Use stool softeners with caution. 
B)  Assume your usual activities. 
C)  Avoid blowing your nose. 
D)  Shampoo your hair with baby shampoo. 
A)  Use stool softeners with caution. 
B)  Assume your usual activities. 
C)  Avoid blowing your nose. 
D)  Shampoo your hair with baby shampoo.

Exam 52: Ear and Hearing Disorders

When teaching the patient with Ménière disease about managing the disorder,the nurse will stress:

When making the initial assessment on a patient with a hearing deficit,the patient reports that he often feels off balance and is dizzy when he stands up.These symptoms could be explained by:

On an intake physical examination,the patient reports that he has been taking 10 aspirin tablets a day for his arthritis.Based on this information the nurse should ask:

The nursing report on a newly admitted patient who is profoundly deaf says that the patient is confused and difficult to assess because she does not appropriately respond to questions or sometimes fails to respond at all.The oncoming nurse will initially:

The patient reports her hearing loss has become more severe over the last 3 months.The clinic nurse makes arrangements for an evaluation for a hearing aid by an:

When planning care for a patient who cannot perceive or interpret sounds,the nurse takes into consideration that the patient may have a ____________________ hearing loss.

Behaviors that would alert the nurse to a possible hearing deficit would be when the patient:

When providing patient-teaching information for a patient who will be self-administering ear drops for an ear infection,the nurse would instruct the patient to:

The patient complains that his hearing aid is not working.The nurse should assess the device by:

A significant instruction to a patient being discharged after ear surgery is to:

The Health Care System

Patient Care Settings

Legal and Ethical Considerations

The Leadership Role of the Licensed Practical Nurse

The Nurse-Patient Relationship

Cultural Aspects of Nursing Care

The Nurse and the Family

Health and Illness

Nutrition

Developmental Processes

The Older Patient

The Nursing Process and Critical Thinking

Inflammation, infection, and Immunity

Fluids and Electrolytes

Pain Management

First Aid, emergency Care, and Disaster Management

Surgical Care

Intravenous Therapy

Shock

Falls

Immobility

Confusion

Incontinence

Loss, death, and End-Of-Life Care

The Patient With Cancer

The Patient With an Ostomy

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Acute Respiratory Disorders

Chronic Respiratory Disorders

Hematologic Disorders

Immunologic Disorders

Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive Tract Disorders

Disorders of the Liver, gallbladder, and Pancreas

Urologic Disorders

Connective Tissue Disorders

Fractures

Amputations

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes Mellitus and Hypoglycemia

Female Reproductive Disorders

Male Reproductive Disorders

Sexually Transmitted Infections

Skin Disorders

Eye and Vision Disorders

Nose, sinus, and Throat Disorders

Psychologic Responses to Illness

Psychiatric Disorders

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