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Terms in this set (25)The nurse is caring for a client who is admitted with mastoiditis. Which assessment data obtained by the nurse requires the most immediate action? a. The eardrum is red, thick-appearing, and immobile. c. The client reports a headache and a stiff neck The nurse is talking to a client about cerumen removal from the ear canal. Which statement by the client indicates a need for further teaching? a. "I dry my ears using my fingertip and a towel." d. I use a cotton swab to remove earwax A client is in the immediate postoperative period after tympanoplasty. How does the nurse position the client? a. On the affected side d. With the affected ear facing up An older adult client reports ear pain. Otoscopic examination for otitis media by the nurse practitioner (NP) reveals a dull and retracted membrane. What does the NP do next? a. Continues further assessment a. Continues further assessment Which type of drug therapy does the nurse anticipate giving to a client with Ménière's disease to decrease endolymph volume? a. Antihistamines c. Diuretics Which test best determines hearing acuity? a. Audiometry a. Audiometry
The nurse is teaching a client with impaired hearing about audiometric testing. Which statement by the nurse effectively communicates information about the procedure to the client? a. "Here is a picture of how the test is done. See how your bad ear will be tested first? You will be alone in the soundproof booth, so you will need to watch for lights flashing on and off as your cues." c. "I will sit right in front of you in the soundproof booth and give you instructions on what types of sounds you will hear and how you'll need to respond." What is the proper technique for assessing an adult client's ear with an otoscope? a. Hold the otoscope right side up when inserting it into the ear canal. d. Pull the pinna up and back with the non dominant hand The nurse is teaching a client who will soon be fitted for a hearing aid about proper care and use. Which statement by the client indicates that teaching was effective? a. "Background noises will be difficult for me to hear." d. Listening to the radio and television will help me get use to new sounds The nurse is teaching a client with vertigo about safety precautions for fall prevention. Which statement by the client indicates a need for further instruction? a. "I may need to use a cane." d. Taking my medication will allow me to drive my car again The nurse has just received change-of-shift report about these clients. Which client needs to be assessed first? a. Client with Ménière's disease who is reporting severe nausea and is requesting an antiemetic c. Client with labyrinthitis who has a temperature of 102.4° F (39.1° C) and a headache A client is having a stapedectomy. Which form of postoperative communication is most effective for the nurse to use? a. Gesturing d. Writing When preparing to examine an ear with drainage, what does the nurse do first? a. Begins testing at 1000 Hz d. Dons clean gloves An older adult client comes in for a routine visit. During the assessment he is irritable and says, "Speak up and quit mumbling!" How will the nurse respond? a. Apologizes and speaks louder and clearer a. Apologizes and speaks louder and clearer Which clients are at high risk for developing hearing problems? a. Airline mechanic a, b, c, d, The nurse is teaching a client about ear protection. Which statement by the client indicates that teaching was effective? a. "I wear foam ear inserts at works where it is noisy." a. I wear foam ear inserts at works where it is noisy The nurse is reviewing postoperative instructions with a client undergoing stapedectomy. Which statement by the client indicates a need for further teaching? a. "I may have problems with vertigo after the surgery." d. I will be able to hear as soon as my dressing is removed The nurse is performing an otoscopic examination of a client's ear and notes greenish-white drainage. What does the nurse do next? a. Disposes of the otoscope tip and washes the hands before examining the other ear a. Disposes of the otoscope tip and washes the hands before examining the other ear
Which technique is correct when instilling ear drops? a. Maintain the head in the same position for 2 minutes after instillation. b. Place the medication bottle of warm water before instillation An older adult client reports ear pain. To differentiate the cause, which clinical manifestation is more indicative of otitis media? a. Dry, flaky cerumen d. Dizziness A client recently diagnosed with Ménière's disease is struggling with tinnitus. How does the nurse provide support to this client? a.
Provide further assessment. d. Refer the client to the American Tinnitus Association Which type of hearing loss is most likely to be reversible when treated appropriately? a. Conductive hearing loss a. Conductive hearing loss The nurse is assessing a client with recent changes in hearing. After taking a medication history, which drugs does the nurse identify as possible causes of the client's hearing change? a. Acetaminophen (Tylenol) c, d, f The nurse is preparing a client for electronystagmography. Which statement by the client indicates that teaching was effective? a. "I can't drink caffeine 24 to 48 hours before the test." a. I can't drink caffeine 24-48 hours before the test An older adult client reports nausea during irrigation of the ear canal to remove impacted cerumen. What does the nurse do next? a. Administer an antiemetic. c. Stop the irrigation immediately Sets with similar termsAH-Exam 5: Chap 51 (Evolve)15 terms ButterfliesNLillies Med Surg EAQ Test #287 terms emily_kathleen Chapter 51: Care of Patients with Ear and Hearing…25 terms FriendlyNurse Chapter 51: Care of Patients with Ear and Hearing…25 terms Brandyew71 Sets found in the same folderChapter 47: Care of Patients with Eye and Vision P…17 terms mrichert97 chapt. 46 evolve Assessment of the Eye14 terms galactic_time_lady Chapter 42 - Care of Patients with Problems of the…26 terms pboes1 Chapter 48: Assessment and Care of Patients with E…24 terms tiff_pent Other sets by this creatorATI comprehensive predictor STUDY THIS ONE198 terms caitlanlott12 Targeted Medical-Surgical 2016: Gastrointestinal30 terms caitlanlott12 The Musculoskeletal System Chapter 18176 terms caitlanlott12 Chapter 49 - Assessment of the Musculoskeletal Sys…38 terms caitlanlott12 Other Quizlet sets개념정리0221 terms reginajeong118 ch 4188 terms hollyachristine ACC 324 Final150 terms Trent_Wilson50 Related questionsQUESTION The daughter of an older female patient with osteoporosis asks what she can do to prevent the development of the disorder as she ages. What should the nurse suggest to the daughter? 15 answers QUESTION What medications can cause primary adrenal insufficiency 6 answers QUESTION How do you monitor fluid therapy? 15 answers QUESTION Where are venous ulcers typically located? 15 answers Which assessment finding is usually noted in a patient with external otitis?The key physical finding of OE is pain upon palpation of the tragus (anterior to ear canal) or application of traction to the pinna (the hallmark of OE). Examination reveals erythema, edema, and narrowing of the external auditory canal (EAC), and a purulent or serous discharge may be noted (see the image below).
Which factor is a common cause of external otitis select all that apply?External otitis is an acute infection of the ear canal skin typically caused by bacteria (Pseudomonas is most common).
Which common manifestation is present in a patient with mastoiditis?In adults, the most common symptoms of mastoiditis are otalgia, otorrhea, and hearing loss, and the physical signs of mastoiditis (ie, swelling, erythema, tenderness of the retroauricular region) are usually present.
What Otoscopic examination finding helps the nurse to identify mastoiditis in a patient with ear pain?The bulging and erythematous TM is the essential otoscopic finding used to distinguish AOM from otitis media with effusion (OME). OE is defined as an infection or inflammation of the ear canal.
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Which statement by a client with cerumen accumulation indicates the need for further teaching
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