Question 1

The nurse is providing discharge education for a patient with a new diagnosis of Mnires disease. What food should the patient be instructed to limit or avoid?

Accepted Answer

A)   Sweet pickles
B)   Frozen yogurt
C)   Shellfish
D)   Red meatE) B) and D)
F) B) and C) A

Question 2

A child has been experiencing recurrent episodes of acute otitis media (AOM) . The nurse should anticipate that what intervention is likely to be ordered?

Accepted Answer

A)   Ossiculoplasty
B)   Insertion of a cochlear implant
C)   Stapedectomy
D)   Insertion of a ventilation tubeE) A) and B)
F) C) and D)

Question 3

The nurse is reviewing the health history of a newly admitted patient and reads that the patient has been previously diagnosed with exostoses. How should the nurse accommodate this fact into the patients plan of care?

Accepted Answer

A)   The nurse should perform the Rinne and Weber tests.
B)   The nurse should arrange for audiometry testing as soon as possible.
C)   The nurse should collaborate with the pharmacist to assess for potential ototoxic medications.
D)   No specific assessments or interventions are necessary to addressing exostoses.E) B) and D)
F) B) and C)

Question 4

Which of the following nurses actions carries the greatest potential to prevent hearing loss due to ototoxicity?

Accepted Answer

A)   Ensure that patients understand the differences between sensory hearing loss and conductiveHearing loss.
B)   Educate patients about expected age-related changes in hearing perception.
C)   Educate patients about the risks associated with prolonged exposure to environmental noise.
D)   Be aware of patients medication regimens and collaborate with other professionals accordingly.E) All of the above
F) A) and D) D

Question 5

A nurse is teaching preventative measures for otitis externa to a group of older adults. What action should the nurse encourage?

Accepted Answer

A)   Rinsing the ears with normal saline after swimming
B)   Avoiding loud environmental noises
C)   Instilling antibiotic ointments on a regular basis
D)   Avoiding the use of cotton swabsE) B) and C)
F) A) and D)

Question 6

A patient has undergone diagnostic testing and has been diagnosed with otosclerosis? What ear structure is primarily affected by this diagnosis?

Accepted Answer

A)   Malleus
B)   Stapes
C)   Incus
D)   Tympanic membraneE) B) and D)
F) All of the above

Question 7

A group of high school students is attending a concert, which will be at a volume of 80 to  90 dB90 \mathrm{~dB}90 dB . What is a health consequence of this sound level?

Accepted Answer

A)   Hearing will not be affected by a decibel level in this range.
B)   Hearing loss may occur with a decibel level in this range.
C)   Sounds in this decibel level are not perceived to be harsh to the ear.
D)   Ear plugs will have no effect on these decibel levels. E) A) and B)
F) A) and C)

Question 8

After mastoid surgery, an 81-year-old patient has been identified as needing assistance in her home. What would be a primary focus of this patients home care?

Accepted Answer

A)   Preparation of nutritious meals and avoidance of contraindicated foods
B)   Ensuring the patient receives adequate rest each day
C)   Helping the patient adapt to temporary hearing loss
D)   Assisting the patient with ambulation as needed to avoid fallingE) All of the above
F) A) and D)

Question 9

A child goes to the school nurse and complains of not being able to hear the teacher. What test could the school nurse perform that would preliminarily indicate hearing loss?

Accepted Answer

A)   Audiometry
B)   Rinne test
C)   Whisper test
D)   Weber testE) B) and D)
F) B) and C) C

Question 10

The clinic nurse is assessing a child who has been brought to the clinic with signs and symptoms that are suggestive of otitis externa. What assessment finding is characteristic of otitis externa?

Accepted Answer

A)   Tophi on the pinna and ear lobe
B)   Dark yellow cerumen in the external auditory canal
C)   Pain on manipulation of the auricle
D)   Air bubbles visible in the middle earE) A) and D)
F) All of the above

Question 11

The nurse is providing care for a patient who has benefited from a cochlear implant. The nurse should understand that this patients health history likely includes which of the following? Select all that apply.

Accepted Answer

A)   The patient was diagnosed with sensorineural hearing loss.
B)   The patients hearing did not improve appreciably with the use of hearing aids.
C)   The patient has deficits in peripheral nervous function.
D)   The patients hearing deficit is likely accompanied by a cognitive deficit.
E)   The patient is unable to lip-read.F) A) and B)
G) B) and D)

Question 12

The nurse is admitting a patient to the unit who is scheduled to have an ossiculoplasty. What postoperative assessment will best determine whether the procedure has been successful?

Accepted Answer

A)   Otoscopy
B)   Audiometry
C)   Balance testing
D)   Culture and sensitivity testing of ear dischargeE) A) and C)
F) A) and B)

Question 13

A patient diagnosed with arthritis has been taking aspirin and now reports experiencing tinnitus and hearing loss. What should the nurse teach this patient?

Accepted Answer

A)   The hearing loss will likely resolve with time after the drug is discontinued.
B)   The patients hearing loss and tinnitus are irreversible at this point.
C)   The patients tinnitus is likely multifactorial, and not directly related to aspirin use.
D)   The patients tinnitus will abate as tolerance to aspirin develops.E) None of the above
F) A) and B)

Question 14

A 6-month-old infant is brought to the ED by his parents for inconsolable crying and pulling at his right ear. When assessing this infant, the advanced practice nurse is aware that the tympanic membrane should be what color in a healthy ear?

Accepted Answer

A)   Yellowish-white
B)   Pink
C)   Gray
D)   Bluish-whiteE) A) and B)
F) A) and C)

Question 15

The nurse in the ED is caring for a 4 year-old brought in by his parents who state that the child will not stop crying and pulling at his ear. Based on information collected by the nurse, which of the following statements applies to a diagnosis of external otitis?

Accepted Answer

A)   External otitis is characterized by aural tenderness.
B)   External otitis is usually accompanied by a high fever.
C)   External otitis is usually related to an upper respiratory infection.
D)   External otitis can be prevented by using cotton-tipped applicators to clean the ear.E) C) and D)
F) B) and C)

Question 16

The nurse is discharging a patient home after mastoid surgery. What should the nurse include in discharge teaching?

Accepted Answer

A)   Try to induce a sneeze every 4 hours to equalize pressure.
B)   Be sure to exercise to reduce fatigue.
C)   Avoid sleeping in a side-lying position.
D)   Dont blow your nose for 2 to 3 weeks.E) C) and D)
F) None of the above

Question 17

An older adult with a recent history of mixed hearing loss has been diagnosed with a cholesteatoma. What should this patient be taught about this diagnosis? Select all that apply

Accepted Answer

A)   Cholesteatomas are benign and self-limiting, and hearing loss will resolve spontaneously.
B)   Cholesteatomas are usually the result of metastasis from a distant tumor site.
C)   Cholesteatomas are often the result of chronic otitis media.
D)   Cholesteatomas, if left untreated, result in intractable neuropathic pain.
E)   Cholesteatomas usually must be removed surgically.F) A) and E)
G) B) and C)

Question 18

A nurse is planning preoperative teaching for a patient with hearing loss due to otosclerosis. The patient is scheduled for a stapedectomy with insertion of a prosthesis. What information is most crucial to include in the patients preoperative teaching?

Accepted Answer

A)   The procedure is an effective, time-tested treatment for sensory hearing loss.
B)   The patient is likely to experience resolution of conductive hearing loss after the procedure.
C)   Several months of post-procedure rehabilitation will be needed to maximize benefits.
D)   The procedure is experimental, but early indications suggest great therapeutic benefits.E) A) and B)
F) B) and D)

Question 19

The advanced practice nurse is attempting to examine the patients ear with an otoscope. Because of impacted cerumen, the tympanic membrane cannot be visualized. The nurse irrigates the patients ear with a solution of hydrogen peroxide and water to remove the impacted cerumen. What nursing intervention is most important to minimize nausea and vertigo during the procedure?

Accepted Answer

A)   Maintain the irrigation fluid at a warm temperature.
B)   Instill short, sharp bursts of fluid into the ear canal.
C)   Follow the procedure with insertion of a cerumen curette to extract missed ear wax.
D)   Have the patient stand during the procedure.E) B) and C)
F) A) and D)

Question 20

A patient is being discharged home after mastoid surgery. What topic should the nurse address in the patients discharge education?

Accepted Answer

A)   Expected changes in facial nerve function
B)   The need for audiometry testing every 6 months following recovery
C)   Safe use of analgesics and antivertiginous agents
D)   Appropriate use of OTC ear dropsE) All of the above
F) C) and D)

Exam 63: Assessment and Management of Patients With Hearing and Balance Disorders

The nurse is providing discharge education for a patient with a new diagnosis of Mnires disease. What food should the patient be instructed to limit or avoid?

Correct Answer
verified
A

A child has been experiencing recurrent episodes of acute otitis media (AOM) . The nurse should anticipate that what intervention is likely to be ordered?

Correct Answer
verified

The nurse is reviewing the health history of a newly admitted patient and reads that the patient has been previously diagnosed with exostoses. How should the nurse accommodate this fact into the patients plan of care?

Correct Answer
verified

Which of the following nurses actions carries the greatest potential to prevent hearing loss due to ototoxicity?

Correct Answer
verified
D

A nurse is teaching preventative measures for otitis externa to a group of older adults. What action should the nurse encourage?

Correct Answer
verified

A patient has undergone diagnostic testing and has been diagnosed with otosclerosis? What ear structure is primarily affected by this diagnosis?

Correct Answer
verified

A group of high school students is attending a concert, which will be at a volume of 80 to $90 \mathrm{~dB}$ . What is a health consequence of this sound level?

Correct Answer
verified

After mastoid surgery, an 81-year-old patient has been identified as needing assistance in her home. What would be a primary focus of this patients home care?

Correct Answer
verified

A child goes to the school nurse and complains of not being able to hear the teacher. What test could the school nurse perform that would preliminarily indicate hearing loss?

Correct Answer
verified
C

The clinic nurse is assessing a child who has been brought to the clinic with signs and symptoms that are suggestive of otitis externa. What assessment finding is characteristic of otitis externa?

Correct Answer
verified

The nurse is providing care for a patient who has benefited from a cochlear implant. The nurse should understand that this patients health history likely includes which of the following? Select all that apply.

Correct Answer
verified

The nurse is admitting a patient to the unit who is scheduled to have an ossiculoplasty. What postoperative assessment will best determine whether the procedure has been successful?

Correct Answer
verified

A patient diagnosed with arthritis has been taking aspirin and now reports experiencing tinnitus and hearing loss. What should the nurse teach this patient?

Correct Answer
verified

A 6-month-old infant is brought to the ED by his parents for inconsolable crying and pulling at his right ear. When assessing this infant, the advanced practice nurse is aware that the tympanic membrane should be what color in a healthy ear?

Correct Answer
verified

The nurse in the ED is caring for a 4 year-old brought in by his parents who state that the child will not stop crying and pulling at his ear. Based on information collected by the nurse, which of the following statements applies to a diagnosis of external otitis?

Correct Answer
verified

The nurse is discharging a patient home after mastoid surgery. What should the nurse include in discharge teaching?

Correct Answer
verified

An older adult with a recent history of mixed hearing loss has been diagnosed with a cholesteatoma. What should this patient be taught about this diagnosis? Select all that apply

Correct Answer
verified

A nurse is planning preoperative teaching for a patient with hearing loss due to otosclerosis. The patient is scheduled for a stapedectomy with insertion of a prosthesis. What information is most crucial to include in the patients preoperative teaching?

Correct Answer
verified

Correct Answer
verified

A patient is being discharged home after mastoid surgery. What topic should the nurse address in the patients discharge education?

Correct Answer
verified

Exam 63: Assessment and Management of Patients With Hearing and Balance Disorders

The nurse is providing discharge education for a patient with a new diagnosis of Mnires disease. What food should the patient be instructed to limit or avoid?

Correct AnswerverifiedA

A child has been experiencing recurrent episodes of acute otitis media (AOM) . The nurse should anticipate that what intervention is likely to be ordered?

Correct AnswerverifiedShow Answer

The nurse is reviewing the health history of a newly admitted patient and reads that the patient has been previously diagnosed with exostoses. How should the nurse accommodate this fact into the patients plan of care?

Correct AnswerverifiedShow Answer

Which of the following nurses actions carries the greatest potential to prevent hearing loss due to ototoxicity?

Correct AnswerverifiedD

A nurse is teaching preventative measures for otitis externa to a group of older adults. What action should the nurse encourage?

Correct AnswerverifiedShow Answer

A patient has undergone diagnostic testing and has been diagnosed with otosclerosis? What ear structure is primarily affected by this diagnosis?

Correct AnswerverifiedShow Answer

A group of high school students is attending a concert, which will be at a volume of 80 to 90 dB90 \mathrm{~dB}90 dB . What is a health consequence of this sound level?

Correct AnswerverifiedShow Answer

After mastoid surgery, an 81-year-old patient has been identified as needing assistance in her home. What would be a primary focus of this patients home care?

Correct AnswerverifiedShow Answer

A child goes to the school nurse and complains of not being able to hear the teacher. What test could the school nurse perform that would preliminarily indicate hearing loss?

Correct AnswerverifiedC

The clinic nurse is assessing a child who has been brought to the clinic with signs and symptoms that are suggestive of otitis externa. What assessment finding is characteristic of otitis externa?

Correct AnswerverifiedShow Answer

The nurse is providing care for a patient who has benefited from a cochlear implant. The nurse should understand that this patients health history likely includes which of the following? Select all that apply.

Correct AnswerverifiedShow Answer

The nurse is admitting a patient to the unit who is scheduled to have an ossiculoplasty. What postoperative assessment will best determine whether the procedure has been successful?

Correct AnswerverifiedShow Answer

A patient diagnosed with arthritis has been taking aspirin and now reports experiencing tinnitus and hearing loss. What should the nurse teach this patient?

Correct AnswerverifiedShow Answer

A 6-month-old infant is brought to the ED by his parents for inconsolable crying and pulling at his right ear. When assessing this infant, the advanced practice nurse is aware that the tympanic membrane should be what color in a healthy ear?

Correct AnswerverifiedShow Answer

The nurse in the ED is caring for a 4 year-old brought in by his parents who state that the child will not stop crying and pulling at his ear. Based on information collected by the nurse, which of the following statements applies to a diagnosis of external otitis?

Correct AnswerverifiedShow Answer

The nurse is discharging a patient home after mastoid surgery. What should the nurse include in discharge teaching?

Correct AnswerverifiedShow Answer

An older adult with a recent history of mixed hearing loss has been diagnosed with a cholesteatoma. What should this patient be taught about this diagnosis? Select all that apply

Correct AnswerverifiedShow Answer

A nurse is planning preoperative teaching for a patient with hearing loss due to otosclerosis. The patient is scheduled for a stapedectomy with insertion of a prosthesis. What information is most crucial to include in the patients preoperative teaching?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

A patient is being discharged home after mastoid surgery. What topic should the nurse address in the patients discharge education?

Correct AnswerverifiedShow Answer

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A

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D

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A group of high school students is attending a concert, which will be at a volume of 80 to $90 \mathrm{~dB}$ . What is a health consequence of this sound level?

Correct Answer
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Correct Answer
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Correct Answer
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C

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