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Assessment and Diagnostics
Disorders
Medications
Treatments
Other
100
Exam using light and magnifying lens to examine external ear canal, tempanic membrane, and some inner ear structures
What is OTOSCOPIC EXAM
100
The most common cause of vertigo
What is LABYRINTHITIS
100
The medication Ceruminex is used to treat which condition? The maximum prescribed contact time is...
What is CERUMINOSIS (IMPACTED EAR WAX), 15-30min (4 days)
100
Procedure in which ear drum in lanced to relieve pressure and middle ear exudate
What is MYRINGOTOMY
100
If the patient complains of dizziness or vertigo, we can assume the problem is with what part of the ear
What is INNER EAR
200
This nerve allows us to hear, and is tested with what method
What is CN VIII, AUDIOMETRY
200
This type of hearing loss is due to sound waves unable to pass through middle/outer ear
What is CONDUCTIVE HEARING LOSS
200
The adult and young child have differences in ear structure. These differences can make certain conditions more likely in certain populations. What is different and how does that impact how we instill ear drops?
What is CHILDREN HAVE SHORTER, WIDER, STRAIGHTER EUSTACIAN TUBES. THIS MEANS WE HAVE TO PULL THEIR EAR DOWN AND BACK VS ADULT IS UP AND BACK
200
Post surgery, the pt should not do what for 2 weeks
What is GET THE EAR WET
200
When viewing the tempanic membrane, it should normally look how?
What is PEARLY WHITE
300
These 2 tests use a tuning fork to assess for hearing acuity
What is WEBBER AND RHINE TEST
300
This disorder has a familial tendency. It may cause conductive hearing loss due to ankylosing of the stapes
What is OTOSCLEROSIS
300
This medication class is used to reduce inflammation
What is CORTICOSTEROID
300
After surgery: what concerning conditions should be reported to the MD (4)
What is EXCESSIVE/PURULENT DRAINAGE, BLEEDING, PAIN, IF COUGHING OR SNEEZING REGULARLY (ALLERGIES OR ILLNESS)
300
These 2 inner ear disorders cause vertigo
What is LABYRINTHITIS, MENIERE'S DISEASE
400
Both taste and eyebrow lifting assess the function of which CN?
What is CN VII (Facial)
400
Swimmers Ear, also known as ________, will present with these sign and symptoms
What is... External Otitis; pain and purulent foul smelling drainage
400
For patients who are prescribed antibiotics for their ear infection, the expected therapeutic responses are _______ and ________(2)
What is BACTERIAL GROWTH INHIBITION, PAIN REDUCTION
400
Why does the pt want to avoid activities such as coughing, sneezing, vomitting, blowing the nose, etc?
What is BECAUSE IT INCREASES THE INNER PRESSURE WHICH MAY INHIBIT HEALING OR CAUSE DAMAGE
400
Causes of conductive hearing loss and sensorineural hearing loss *(DOUBLE JEOPARDY)*
CONDUCTIVE - CERUMINOSIS, OTOSCLEROSIS, IMPAIRED OR RUPTURED EAR DRUM SENSORINEURAL - NERVE DAMAGE (LOUD NOISES), MEDS SUCH AS ASA AND AMINOGLYCOSIDES
500
This assessment uses cold and warm water flushed into the ear canal. We are watching for nystagmus. What is the test and what is it assessing?
What is CALORIC TEST, VESTIBULAR (BALANCE) FUNCTION
500
This chronic disease is caused by an increase in endolymph. What is the treatment
What is MENIERE'S DISEASE; DIURETICS BETWEEN ATTACKS, LOW SODIUM DIET, DRAMAMINE, ANTIVERT, COMPAZINE, BENEDRYL
500
Nursing considerations for administering ear drops - what temp - how the client should be positioned and for how long - should applicator be inserted into ear canal - Age considerations
What is ROOM TEMP, LAY ON UNAFFECTED SIDE FOR 5 MIN, NO (DO NOT ALLOW APPLICATOR TIP TO TOUCH EAR), ADULT = UP AND BACK, CHILD = DOWN AND BACK
500
In most ear surgeries (except one), the patient is instructed to lay this way post-op. Why? What is the surgery that contradicts this general rule, why?
What is surgical side (affected ear) up to reduce swelling. Myringotomy (affected side down) to promote drainage
500
Holding the head still, stopping all movement, and lying down are nursing considerations for the patient experiencing...
What is VERTIGO