Deck 48: Coordinating Care for Patients With Hearing Disorders

Question 1

During a home visit the nurse suspects that someone in the family has hearing loss.What did the nurse observe to come to this conclusion?

A) Television volume on loud
B) Patient sitting in the kitchen
C) Music playing in the background
D) Family member cooking at the stove

Answer 1

Television volume on loud

Question 2

A middle-aged patient is experiencing tinnitus.What should the nurse suggest to help determine the reason for this health problem?

A) Increase the intake of fresh fruit
B) Write down when the noises occur
C) Sleep a few extra hours each night
D) Reduce fluid intake after 1800 hours

Answer 2

Write down when the noises occur

Question 3

The nurse is planning care for a patient recovering from a tympanoplasty.Which action should the nurse include to ensure the ear packing stays intact?

A) Increase fluid intake
B) Administer tobramycin
C) Maintain nothing by mouth status
D) Position flat with the operative side up

Answer 3

Position flat with the operative side up

Question 4

The nurse is reviewing data in a patient's medical record.Which information increases the patient's risk for developing Ménière's disease?

A) Follows a gluten-free diet
B) Allergic to house dust and pet dander
C) Works as a computer science technician
D) Treated for a pinched nerve in the lower back

Question 5

A patient with Ménière's disease is admitted for intravenous fluid administration.What additional manifestation is seen in this disease process?

A) Muscle cramps
B) Drop in blood pressure
C) Capillary glucose 90 mg/dL
D) Uncontrollable eye movements

Question 6

A patient being treated for otitis media is experiencing reduced hearing and dizziness.Which complication should the nurse suspect is occurring with this patient?

A) Petrositis
B) Meningitis
C) Mastoiditis
D) Labyrinthitis

Question 7

A patient who swims several times a week asks why the ears are becoming frequently infected.What should the nurse explain to this patient?

A) "The pool water is entering your Eustachian tubes."
B) "The pool water has microorganisms that are entering your ears."
C) "The pool water is drying out your ears causing skin breakdown."
D) "The pool water has chlorine that is killing all of the good bacteria."

Question 8

A patient with tinnitus is prescribed diphenhydramine.What should the nurse explain to the patient about this medication?

A) "This is an antibiotic that will cure the problem."
B) "This is a decongestant to help reduce the symptoms."
C) "This is an anticonvulsant that will stop the aura of the noises."
D) "This is a vitamin supplement that will improve blood flow to the ears."

Question 9

During a home visit the nurse notes that a patient continues to experience vertigo.On what should the nurse focus care during this visit?

A) Safety
B) Nutrition
C) Perfusion
D) Fluid balance

Question 10

A patient with external otitis rates pain as 8 on a scale of 0 to 10.What should the nurse do to improve this patient's comfort?

A) Apply warm,dry heat to the ear
B) Apply a cool compress to the ear
C) Position supine with the affected ear down
D) Obtain an order for an opioid pain medication

Question 11

A patient with a low-grade fever is diagnosed with otitis media.Which medication should the nurse expect to be prescribed as a priority for this patient?

A) Cefixime (Suprax)
B) Ibuprofen (Motrin)
C) Acetaminophen (Tylenol)
D) Normal saline nose drops

Question 12

A patient with Ménière's disease is experiencing severe nausea and vomiting.Which medication should the nurse expect to be prescribed for this patient?

A) Diazepam (Valium)
B) Meclizine (Antivert)
C) Promethazine (Phenergan)
D) Dimenhydrinate (Dramamine)

Question 13

A patient is scheduled for a cochlear implant.Which patient statement indicates that teaching about this surgery has been effective?

A) "This implant will not restore my hearing."
B) "I will be able to hear perfectly after this surgery."
C) "This surgery will drain fluid from my middle ear."
D) "This surgery will rebuild my damaged tympanic membrane."

Question 14

After an assessment the nurse suspects a patient is experiencing vertigo.Which data caused the nurse to come to this conclusion?

A) Nasal congestion
B) Spinning sensation at rest
C) Feeling of fullness in the ears
D) Mucopurulent drainage from the nose

Question 15

During a well-child visit the nurse suspects that a two-year-old is experiencing otitis media.What finding did the nurse use to make this clinical determination?

A) Drowsiness
B) Tugging at the ear
C) Tearing of the eyes
D) Clear mucous from the nose

Question 16

A patient asks what can be done to stop the "noises" in the ears.What should the nurse ask to determine if the patient is experiencing tinnitus?

A) "What does the noise sound like?"
B) "How often do the noises occur?"
C) "What are the noises saying to you?"
D) "Do the noises occur mostly at night?"

Question 17

A patient seeking medical attention for "buzzing in the ears" asks why the blood pressure is being measured.How should the nurse respond to this patient?

A) "Blood pressure measurement is done on every patient."
B) "The ear buzzing means your blood vessels are constricted."
C) "Elevated blood pressure makes the buzzing more noticeable."
D) "The blood pressure is used to determine what medication you will need."

Question 18

A patient with external otitis has a ruptured tympanic membrane.Which medication should the nurse expect to be prescribed for this patient?

A) Tobramycin
B) Fluoroquinolone
C) 2.0% Acetic acid (Vosol)
D) 90% to 95% isopropyl alcohol

Question 19

The nurse is evaluating teaching provided to a patient with vertigo.Which observation indicates that teaching has been effective?

A) Sips a cup of coffee
B) Changes positions slowly
C) Prepares canned soup for lunch
D) Drinks diet soda during the day

Question 20

A patient with a hearing loss is wearing headphones as a part of a diagnostic test.What test is being completed with this patient?

A) Tympanometry
B) Pure-tone threshold
C) MRI with gadolinium
D) Speech reception threshold

Question 21

The nurse suspects that patient is experiencing undiagnosed Ménière's disease.Which assessment finding supports the nurse's clinical decision?

A) Facial pain
B) Nasal drainage
C) Positive Romberg test
D) Decreased deep tendon reflexes

Question 22

A patient with severe Ménière's disease is considering a labyrinthectomy.What should the nurse emphasize as a complication of this procedure?

A) Long-term tinnitus
B) Chronic otitis media
C) Rupture of the tympanic membrane
D) Complete hearing loss of the affected ear