Exam 16: Ears

The nurse suspects that a patient has otitis media.Early signs of otitis media include which of these findings of the tympanic membrane?

A patient in her first trimester of pregnancy is diagnosed with rubella.Which of these statements is correct regarding the significance of this in relation to the infant's hearing?

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:

A patient has been admitted after an accident at work.During the assessment, the patient is having trouble hearing and states, "I don't know what the matter is.All of a sudden, I can't hear you out of my left ear!" What should the nurse do next?

A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing, especially in large groups.He says that 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 change?

In performing an examination of a 3-year-old child with a suspected ear infection, the nurse would:

During an examination, the patient states he is hearing a buzzing sound and says, "It is driving me crazy!" The nurse recognizes that this symptom indicates:

The nurse is preparing to perform an otoscopic examination on a 2-year-old child.Which one of these reflects the correct procedure?

The nurse is testing the hearing of a 78-year-old man and is reminded of the changes in hearing that occur with aging that include which of the following? (Select all that apply.)

During an examination, the nurse notices that the patient stumbles a little while walking and that when she sits down, she holds on to the sides of the chair.The patient states, "It feels like the room is spinning!" The nurse documents that the patient is experiencing:

The nurse is working with new parents to help decrease the incidence of childhood acute otitis media.The nurse provides recommendations which include: (Select all that apply.)

The nurse is assessing a patient who may have hearing loss.Which of these statements concerning air conduction is true?

When examining the ear with an otoscope, the nurse notes that the tympanic membrane is translucent and pearly.The nurse will:

The nurse is performing an ear examination of an 80-year-old patient.Which of these findings would be considered normal?

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

A 31-year-old patient tells the nurse that he has noticed a progressive loss in his hearing.He says that it does seem to help when people speak louder or if he turns up the volume of the television or radio.The most likely cause of his hearing loss is:

In an individual with otitis externa, which of these signs would the nurse expect to find on assessment?

During an interview, the patient states he has the sensation that "everything around him is spinning." The nurse recognizes that the portion of the ear responsible for this sensation is the:

The nurse is administering ear drops to a 68-year-old patient.The nurse will pull the area of the ear consisting of movable cartilage and skin, known as the ___________, upward and backward to open the ear canal.

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