Deck 48: Coordinating Care for Patients With Hearing Disorders

Question 1

A patient with external otitis rates pain as 8 on a scale of 0 to 10. What action does the nurse take to address the patient's comfort?
1)Apply warm, dry heat to the ear
2)Apply a cool compress to the ear
3)Position supine with the affected ear down
4)Obtain an order for an opioid pain medication

Answer 1

1

Question 2

A patient with a low-grade fever is diagnosed with otitis media. Which medication does the nurse recognize as the priority treatment for this patient?
1)Cefixime (Suprax)
2)Ibuprofen (Motrin)
3)Acetaminophen (Tylenol)
4)Normal saline nose drops

Answer 2

1

Question 3

A patient with hearing loss is wearing headphones as a part of a diagnostic test. What test is being completed with this patient?
1)Tympanometry
2)Pure-tone threshold
3)Acoustic reflex test
4)Speech reception threshold

Answer 3

2

Question 4

A patient asks what can be done to stop the "noises" in the ears. What question does the nurse ask to determine if the patient is experiencing tinnitus?
1)"What does the noise sound like?"
2)"How often do the noises occur?"
3)"What are the noises saying to you?"
4)"Do the noises occur mostly at night?"

Question 5

A patient with external otitis has a ruptured tympanic membrane. Which medication does the nurse correlate to the treatment of this patient?
1)Tobramycin
2)Fluoroquinolone 3.2.0% Acetic acid (Vosol)
4)90% to 95% isopropyl alcohol

Question 6

A patient is scheduled for a cochlear implant. Which patient statement indicates that teaching about this surgery has been effective?
1)"This implant will enhance my ability to understand speech."
2)"I will be able to hear perfectly after this surgery."
3)"This surgery will drain fluid from my middle ear."
4)"This surgery will rebuild my damaged tympanic membrane."

Question 7

Which statement by the patient with neural hearing loss indicates understanding of teaching about this disorder?
1)"My hearing loss is caused by perforation of my eardrum."
2)"My hearing loss affects both of my ears."
3)"My hearing should return to normal after the surgery."
4)"My hearing loss is permanent."

Question 8

The nurse provides instruction for an adult patient who is prescribed ear drops in the treatment of otitis media. Which patient statement indicates the need for additional teaching?
1)"I will pull the pinna down and back to administer the drops."
2)"I will place a cotton ball in the ear after the drops are administered."
3)"I will gently move my head back and forth after administering the drops."
4)"I will place the bottle of ear drops in warm water for several minutes before administration."

Question 9

In the immediate post-operative period after tympanoplasty, how does the nurse position the patient?
1)Head of bed elevated 60 degrees
2)Flat with operative ear facing up
3)Flat on the affected side
4)Supine with eyes toward ceiling

Question 10

The nurse correlates an increased risk of developing Ménière's disease based upon which information in the patient's health record?
1)Follows a gluten-free diet
2)Allergic to house dust and pet dander
3)Works as a computer science technician
4)Treated for a pinched nerve in the lower back

Question 11

A patient seeking medical attention for "buzzing in the ears" asks why the blood pressure is being measured. What is the nurse's best response?
1)"Blood pressure measurement is done on every patient."
2)"The ear buzzing means your blood vessels are constricted."
3)"Elevated blood pressure makes the buzzing more noticeable."
4)"The blood pressure is used to determine what medication you will need."

Question 12

The nurse reinforces teaching for a patient who is scheduled for a left-sided tympanoplasty. Which patient statement indicates a need for additional teaching?
1)"I might experience temporary hearing loss due to the packing in my ear after the procedure."
2)"I will turn and cough after the procedure to decrease my risk for developing pneumonia."
3)"I will keep my ear clean and dry after the procedure to decrease my risk for infection."
4)"I won't use cotton swabs to clean my ear as this pushes the wax further into the ear."

Question 13

A patient who swims several times a week asks why the ears are becoming frequently infected. What is the nurse's best response?
1)"The pool water is entering your Eustachian tubes."
2)"The pool water has microorganisms that are entering your ears."
3)"The pool water is drying out your ears, causing skin breakdown."
4)"The pool water has chlorine that is killing all of the good bacteria."

Question 14

In reviewing education for the patient who is receiving a cochlear implant, which statement indicates the need for additional teaching?
1)"The microphone retrieves sound from the environment."
2)"The electrodes send the impulses to different regions of the auditory nerve."
3)"The speech processor selects and arranges sounds received from the microphone."
4)"The transmitter receives signals from the microphone and converts them into impulses."

Question 15

The nurse monitors for which clinical manifestation in the patient experiencing vertigo?
1)Buzzing sounds in the ears
2)Spinning sensation at rest
3)Feeling of fullness in the ears
4)Mucopurulent drainage from the ears

Question 16

The nurse correlates reduced hearing and dizziness in the patient diagnosed with otitis media to which complication?
1)Petrositis
2)Meningitis
3)Mastoiditis
4)Labyrinthitis

Question 17

The nurse monitors for which clinical manifestation in the patient being treated for Ménière's disease?
1)Muscle cramps
2)Drop in blood pressure
3)Capillary glucose 60 mg/dL
4)Uncontrollable eye movements

Question 18

In explaining the rationale for the patient prescribed diphenhydramine to treat tinnitus, what is the nurse's best response?
1)"This is an antibiotic that will cure the problem."
2)"This is a decongestant to help reduce the symptoms."
3)"This is an anticonvulsant that will stop the aura of the noises."
4)"This is a vitamin supplement that will improve blood flow to the ears."

Question 19

The nurse monitors for which assessment data in the patient diagnosed with obstructive hearing loss?
1)The patient has visible blood upon otoscope examination.
2)The patient has a visible lesion upon otoscope examination.
3)The patient reports pain and states, "My ear feels plugged."
4)The patient reports, "The hearing in my right ear comes and goes ever since my MS diagnosis."

Question 20

A middle-aged patient is experiencing tinnitus. What does the nurse suggest to help determine the reason for this health problem?
1)Encourage the use of earbuds to decrease background noise.
2)Write down what you are doing when the noises occur.
3)Sleep a few extra hours each night.
4)Reduce fluid intake after 1800 hours.

Question 21

A patient seeks medical attention for ear pain. What findings indicate that this patient is experiencing external otitis? Select all that apply.
1)The patient's ear is edematous.
2)The patient's ear canal is reddened.
3)The patient flinches when the ear is touched.
4)The patient reports pressure when the outer auricle is moved.
5)The patient has copious amount of purulent drainage from the ear canal.

Question 22

The nurse collects which assessment data in the patient experiencing tinnitus? Select all that apply.
1)Current age
2)Nutritional status
3)Presence of earwax
4)Current medications
5)Exposure to loud noises

Question 23

The nurse correlates which clinical manifestation to the patient being evaluated for Ménière's disease?
1)Facial pain
2)Nasal drainage
3)Positive Romberg test
4)Decreased deep tendon reflexes

Question 24

A patient with vertigo is prescribed prochlorperazine (Compro) 10 mg intramuscularly four times a day. A vial containing 250 mg/10 mL of the medication is delivered by the pharmacy. How many mL of the medication should the nurse provide for each dose? Record your answer to the nearest tenth decimal point. ______

Question 25

Which medication does the nurse correlate to the treatment of severe nausea and vomiting in the patient diagnosed with Ménière's disease?
1)Diazepam (Valium)
2)Meclizine (Antivert)
3)Promethazine (Phenergan)
4)Dimenhydrinate (Dramamine)

Question 26

The nurse is preparing teaching materials for a group of older adults. What information does the nurse include as risk factors for hearing loss? Select all that apply.
1)Smoking history
2)Heredity
3)Medications
4)Recreational noise
5)Occupational noise

Question 27

A patient with severe Ménière's disease is considering a labyrinthectomy. What potential complication does the nurse include in the preoperative teaching?
1)Long-term tinnitus
2)Chronic otitis media
3)Rupture of the tympanic membrane
4)Complete hearing loss of the affected ear

Question 28

The nurse monitors for which clinical manifestations in the patient diagnosed with external otitis? Select all that apply.
1)Edema of the ear canal
2)External ear tender to touch
3)Pain when moving the auricle
4)Purulent drainage from the ear
5)Swelling around the external ear

Question 29

The nurse is preparing information about ear health for a community health fair. The nurse includes which risk factors for the development of otitis media? Select all that apply.
1)Chronic illnesses
2)Exposure to smoking
3)Genetic predisposition
4)Flat Eustachian tube in children
5)Current upper respiratory infection

Question 30

A patient is diagnosed with a peripheral inner ear disorder causing vertigo. The nurse focuses on which structures based upon this diagnosis? Select all that apply.
1)Eustachian tube
2)CN VIII
3)Semicircular canals
4)Malleus
5)Tympanic membrane