Deck 44: Ear Disorders

Question 1

While reviewing the laboratory reports of a client, the nurse finds an increased volume of endolymph fluid in the inner ear. On further examination, the nurse finds that the client is positive for the Romberg test. Which pathological condition does the nurse anticipate in the client?
1)Otitis media
2)Labyrinthitis
3)Ménière's disease
4)Vestibular schwannoma

Answer 1

3

Question 2

During a client assessment, a client reports a loss of hearing to the nurse. The nurse also finds an increased volume of endolymph fluid in the inner ear. Which instruction does the nurse give the client?
1)"You should eat a low-salt diet."
2)"You should eat a low-iron diet."
3)"You should eat a low-protein diet."
4)"You should eat a low-carbohydrate diet."

Answer 2

1

Question 3

While examining a client's ear through a pneumatic otoscope, the nurse notes decreased movement of the tympanic membrane in the client. Additional assessment reveals pharyngeal erythema and rhinorrhea in the client. Which is an appropriate nursing intervention for the client?
1)Obtaining a specimen for a throat culture
2)Rationalizing a low-fluid diet to the client
3)Preparing the client for a magnetic resonance imaging (MRI) scan
4)Using a Meniett device to alleviate the symptoms

Answer 3

1

Question 4

While reviewing the magnetic resonance imaging (MRI) reports of a client who has a hearing impairment, the nurse notes the presence of a tumor associated with the auditory nerve. During additional assessment, the nurse finds the client is positive for the Romberg test. Which diagnosis does the nurse anticipate?
1)The client has otitis media.
2)The client has labyrinthitis.
3)The client has Ménière's disease.
4)The client has vestibular schwannoma.

Question 5

The nurse is teaching care measures to be followed by a client who has otitis externa. Which instruction by the nurse is most beneficial to the client?
1)"You should use ear plugs while you are bathing."
2)"You should wear headgear over your ears when swimming."
3)"You should clean your ears with a small amount of water."
4)"You should keep cotton balls in your ears while bathing."

Question 6

A client reports an inability to hear any sounds after takeoff during airplane flight to the nurse. Which does the nurse conclude from the client's statement?
1)The Eustachian tube is malfunctioning.
2)Cranial nerve V is damaged.
3)Cranial nerve I has an altered function.
4)The stapes is sealed with the annular ligament.

Question 7

A client reports difficulty with hearing. The nurse performs a hearing test and discovers the client cannot hear any sounds softer than 44 dB. Which type of hearing loss does the nurse record on the client's chart?
1)Mild hearing loss
2)Moderate hearing loss
3)Severe hearing loss
4)Profound hearing loss

Question 8

After multiple follow-up visits, the nurse finds that a client with persistent otitis media for 12 weeks is not improved using the initial treatment regimen. Which intervention is the nurse most likely expecting to be prescribed?
1)The Romberg test
2)A low-salt diet
3)A tympanostomy
4)Destructive surgery

Question 9

While reviewing the laboratory reports of a client who presented with hearing loss, the nurse notes the presence of inflammation in the membranous labyrinth. The client also reports vertigo and loss of balance. Which treatment strategy does the nurse anticipate to be most beneficial to the client?
1)Tympanostomy
2)Destructive surgery
3)Antibiotics and meclizine
4)Analgesic and antipyretic

Question 10

While caring for an older adult client, the nurse finds the client is in the initial stage of presbycusis. Which instruction by the nurse to the client's family member is most beneficial to the client?
1)"You should limit conversation with the client."
2)"You should borrow a used hearing aid for the client."
3)"You should use gestures while talking to the client."
4)"You should make an appointment with an audiologist for the client."

Question 11

The nurse is addressing treatment for a client diagnosed with profound hearing loss. The nurse is recommending digital hearing aids and the benefits of learning lip reading and/or sign language. Which hearing test result is the nurse addressing? 1.10 decibels
2)20 decibels
3)60 decibels
4)90 decibels

Question 12

The nurse finds accumulation of yellow-brown-colored earwax in the client's ear canal while assessing a client who reports hearing difficulty. Which is an appropriate nursing intervention?
1)Clean the earwax with tissue paper.
2)Irrigate or use a curette to remove the earwax.
3)Use a cotton-tipped applicator to clean the earwax.
4)Remove the earwax with small surgical forceps.

Question 13

The nurse is assessing a child who exhibits the manifestations of otitis media. Which additional finding does the nurse associate with otitis media?
1)Kidney infection
2)Vaginal infection
3)Gastrointestinal infection
4)Upper respiratory tract infection

Question 14

A client reports difficulty hearing. The nurse finds that the client's external ear exhibits a cause for the altered function. Which finding in the client supports the nurse's finding?
1)There are balance problems.
2)The eardrum is inflamed.
3)There is pain with swallowing.
4)The auditory ossicles do not move.

Question 15

The nurse is performing a follow-up assessment on a client being treated for back pain. The client reports that long-term treatment with naproxen is moderately effective and the addition of aspirin is providing better pain management. Which testing is the nurse likely to request for this client?
1)Upper gastrointestinal (GI) studies
2)Complete blood count (CBC) and profile
3)Auditory testing
4)Myelogram

Question 16

Which part of the ear conducts sound waves to the tympanic membrane?
1)Inner ear
2)Middle ear
3)External ear
4)Cochlea

Question 17

After reviewing the magnetic resonance imaging (MRI) reports of a client, the health-care provider instructs the nurse to schedule the client for surgery. Which condition in the client is likely responsible for this prescription?
1)Otitis media
2)Labyrinthitis
3)Ménière's disease
4)Vestibular schwannoma

Question 18

A client reports feelings of instability with head movement while standing. Which cranial nerve does the nurse suspect is involved in the client's manifestations?
1)Cranial nerve I
2)Cranial nerve V
3)Cranial nerve VIII
4)Cranial nerve XII

Question 19

The nurse is providing care for a client with a perforated tympanic membrane after a scuba diving event. Which treatment is best for the health-care provider to recommend?
1)Systematic antibiotics
2)Natural healing over time
3)Antimicrobial ear drops
4)Tympanic membrane surgery

Question 20

The nurse reviews a culture report on a client's ear secretions, which identifies the presence of Staphylococcus aureus and Pseudomonas bacterial strains. The client initially presented with pain, tenderness, and itching on the auricle. Which conclusion does the nurse conclude from these findings?
1)The client has otitis externa.
2)The client has labyrinthitis.
3)The client has Ménière's disease.
4)The client has vestibular schwannoma.

Question 21

A parent of a child reports the child is irritable, tugs the ear, and has poor feeding behaviors. On assessment, the nurse finds the child has a red and bulged tympanic membrane. Which other findings in the child is the nurse most likely observe? Select all that apply.
1)Vomiting
2)Yellow skin
3)Runny nose
4)Hypothermia
5)Ear drainage

Question 22

The nurse is reviewing the anatomy of the inner ear. Which parts of the inner ear does the nurse associate with the membranous labyrinth? Select all that apply.
1)Utricle
2)Saccule
3)Scala media
4)Scala tympani
5)Scala vestibule

Question 23

The nurse is reviewing the laboratory reports for a child diagnosed with a middle ear infection. Which bacterial strains listed in the laboratory reports is the nurse likely to expect? Select all that apply.
1)Bacillus anthracis
2)Treponema pallidum
3)Moraxella catarrhalis
4)Haemophilus influenzae
5)Streptococcus pneumoniae

Question 24

The nurse confirms an older adult client is experiencing presbycusis. Which contributing factors does the nurse attribute to the client's condition? Select all that apply.
1)Age that is older than 50 years
2)Red tympanic membrane
3)Loss of hair cells in the cochlea
4)Increased volume of endolymph fluid in the inner ear
5)Inflammation of the membranous labyrinth

Question 25

A client reports hearing loss to the nurse. With assessment, the nurse suspects the client has Ménière's disease. Which statements does the nurse anticipate from the client? Select all that apply.
1)"I feel like falling while walking."
2)"My appetite has increased lately."
3)"The room is spinning around me."
4)"I hear buzzing and ringing sounds in my ear."
5)"I feel like someone is calling me frequently."