Assessment
Which type of hearing loss is caused my inflammation, obstruction, changes in ear drum and otosclerosis?
Conductive hearing loss
Treatments of otitis media
Analgesics, antihistamines, decongestants, possible myringotomy
What teaching will the nurse provide to a client who continues to experience more frequent episodes associated with Ménière disease? Select all that apply.
A. Reducing activity can reduce frequency of episodes.
B. Episodes will eventually decrease in severity and number.
C. Reducing sodium, caffeine, and alcohol intake can be beneficial.
D. The only treatment that is effective is to undergo labyrinthectomy.
E. When moving from sitting to standing, be cautious and take your time.
C, E
The daughter of an 80-year-old client reports that her father’s hearing has significantly diminished over the past few years. The client tells the nurse, “that’s not true; my hearing is just fine.” What is the appropriate nursing response?
A.“I’m sure you are just fine, too.”
B.“Why don’t you believe your daughter?”
C.“Everyone worries about losing their hearing.”
D.“It must feel frightening to think about losing your hearing.”
D
The nurse should acknowledge the potential fear that the client may be having without being patronizing or confrontational. Telling the client there is nothing wrong with her exhibits false reassurance. Asking the client why she doesn’t believe her daughter’s statements exhibits confrontation by demanding an answer. Telling the client that everyone is afraid of losing their hearing minimizes the client’s situation.
Sensorineural
Condition that manifests painful, red, swollen external ear often caused by irritating or infectious agents
External otitis (aka swimmers ear)
Which communication method is appropriate when the nurse is interacting with a client who is deaf?
A. Use pictures and writing
B. Speak with enunciated words
C. Ask client to read the nurse’s lips
D. Dialogue with the client’s caregivers
A
The client is diagnosed with suspected hearing loss. What teaching will the nurse provide? (Select all that apply.)
A.Have hearing assessments annually.
B.Avoid exposure to loud music or other noises.
C.Ear plugs should be used if you are swimming.
D.Use cotton swabs to clean your ear canal showering.
E.Nothing smaller than a fingertip should be inserted into the ear canal.
A, B, C, E
It is important to teach about having annual hearing assessments, avoiding loud music or noises that can further damage hearing, protecting the ears if swimming, and not placing anything smaller than a fingertip in the ear canal. The nurse will discourage the use of cotton swabs.
Which hearing loss is characterized by inflammation, obstruction, changes in ear drum, and otosclerosis?
Conductive hearing loss
Condition that includes a classic trio of symptoms-- episodic vertigo, tinnitus, and hearing loss
Meniere Disease
When teaching a community group of older adults, what information will the nurse include regarding normal hearing changes associated with aging? Select all that apply.
A. Hair in the ear thins and falls out
B. Hearing acuity changes in all older adults
C. Cerumen dries and becomes impacted more easily
D. The ability to hear low-frequency pitches diminishes first
E. Sounds such as f, s, sh, and pa may be more difficult to discern
C, E
While taking a history, the nurse notices a deformity of a client’s right external ear. What is the priority nursing assessment?
A.Visual accuracy
B.Hearing deficits
C.Cardiopulmonary history
Kidney or urinary tract problems
D
The external ear develops in the embryo at the same time as the kidneys and urinary tract. Thus any person with a defect of the external ear should be examined for possible problems of the kidneys and urinary systems. Other assessments can be completed afterward.
Which hearing loss is caused by damage to inner ear or auditory nerve as a result of prolonged exposure to loud noises.
Sensorineural hearing loss
What teaching will the nurse provide to a client who has just been fitted for new hearing aids?
A. Turn off the hearing aid when not using it.
B. Immerse the ear mold in alcohol to fully clean it.
C. Store the hearing aid in a warm, humid bathroom when not in use.
D. Avoid using hair spray, makeup, and personal care products around the device.
D
When caring for four clients, which client does the nurse report to the health care provider who should not receive an otoscopic examination?
A. 25-year-old with throat and ear pain
B. 39-year-old experiencing dizziness
C. 46-year-old who has type 2 diabetes
D. 60-year-old experiencing delirium
nxclex 43.1
Which client statement regarding a new diagnosis of tinnitus requires nursing teaching? Select all that apply.
A. “I am so glad this condition will go away permanently.”
B. “It is important that I do not drive when I have tinnitus.”
C. “Watching my diet will make a difference in my condition.”
D. “Surgery is the only treatment that is available for tinnitus.”
E. “I have found a couple of support groups that I like to attend.”
nclex 43.2