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Management Of Clients With Hearing And Balance Disorders

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Question 1
Free
Multiple Choice

An 82-year-old man tells the nurse he is having difficulty hearing and that he has "too much ear wax." Because of the client's age, the nurse would ask

Choose correct answer/s
A

"Did you ever experience impacted cerumen?"

B

"Do you swim in a pool with chlorinated water?"

C

"Have you had an upper respiratory infection?"

D

"Have you noted a change in the color of the ear wax?"

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Question 2
Free
Multiple Choice

The problem with the ear that the nurse would consider to be associated with the aging process is

Choose correct answer/s
A

amblyopia.

B

otalgia.

C

presbycusis.

D

tinnitus.

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Question 3
Free
Multiple Choice

The school nurse teaches the young swimmer that the earliest manifestation of external otitis is

Choose correct answer/s
A

a low-grade fever.

B

a popping sensation in the ears.

C

pain when the external ear is manipulated.

D

humming or buzzing noises in the ear.

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Question 4
Free
Multiple Choice

The most appropriate action that the nurse working at a camp would take to remove an insect from a camper's ear is

Choose correct answer/s
A

gently irrigate the ear canal with sterile water.

B

instill a few drops of mineral oil into the ear.

C

instruct the camper to tilt the affected ear downward.

D

occlude the ear with a medicated cotton pledget.

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Question 5
Free
Multiple Choice

To provide appropriate instructions to a client who has an ear wick inserted to facilitate medication administration for external otitis, the nurse would advise the client to

Choose correct answer/s
A

apply ear drops directly to the wick.

B

eliminate milk from the diet.

C

shower frequently to remove ear secretions.

D

sleep with the affected ear on the pillow.

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Question 6
Multiple Choice

Which action is most appropriate when performing ear irrigation to remove excess wax? The nurse should

Choose correct answer/s
A
keep the client's head in an upright position.
B
occlude the ear canal completely with the syringe.
C
spray the external ear with an antiseptic solution.
D
use an irrigation solution that is at body temperature.
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Question 7
Multiple Choice

A young client has a perforation of the tympanic membrane that occurred while cleaning the ear with a pointed object. The nurse would advise that

Choose correct answer/s
A
a hearing aid is usually necessary after the tympanic membrane heals.
B
perforations often heal spontaneously with no complications.
C
the client should remain in a quiet environment until healed.
D
the client will most likely experience vertigo.
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Question 8
Multiple Choice

The nurse preparing written discharge instructions for the day-surgery unit where ear surgery is performed would plan to include which instruction?

Choose correct answer/s
A
Avoid heavy lifting and do not engage in sports for 3 weeks after surgery.
B
Leave the cotton ball dressing in the ear until your follow-up appointment.
C
Do not sneeze, blow your nose, or cough for 1 week after surgery.
D
Report any decreased hearing in the operative ear.
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Question 9
Multiple Choice

The nurse assessing a client with an inner ear disorder would be aware that the presenting clinical manifestation will be

Choose correct answer/s
A
conductive hearing disorder.
B
otorrhea.
C
sensorineural hearing loss.
D
severe headache.
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Question 10
Multiple Choice

The occupational health nurse evaluating a factory where the noise level is high would recommend noise abatement or use of earplugs when the noise level exceeds

Choose correct answer/s
A
47 dB.
B
64 dB.
C
72 dB.
D
80 dB.
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Question 11
Multiple Choice

When communicating with a client who has a significant hearing loss, the nurse would

Choose correct answer/s
A
obtain the client's attention by hand clapping.
B
speak as loudly as possible.
C
use an intercommunication system.
D
use phrases to convey meaning rather than one-word answers.
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Question 12
Multiple Choice

The nurse caring for a frail 72-year-old client recently diagnosed with Ménière's disease would know that the nursing diagnosis frequently associated with this problem that is the priority for the client is

Choose correct answer/s
A
Deficient Knowledge.
B
Ineffective Health Maintenance.
C
Risk for Impaired Skin Integrity.
D
Risk for Injury.
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Question 13
Multiple Choice

The nurse would explain that a nonsurgical approach to reduce the clinical manifestations of labyrinthitis is injection of an ototoxic drug into the middle ear to

Choose correct answer/s
A
clear the eustachian tube.
B
destroy hair cells.
C
equalize pressure.
D
stabilize the ossicles.
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Question 14
Multiple Choice

A client has Ménière's disease. Which question by the nurse would elicit the most pertinent information related to client safety?

Choose correct answer/s
A
"Are your attacks at certain times of the day?"
B
"Do your attacks come on without warning?"
C
"How long does each attack last?"
D
"What seems to bring on your attacks?"
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Question 15
Multiple Choice

The nurse is aware that when speaking with a client who has impaired hearing in the right ear, the behavior that would make it more difficult for the client to understand the communication is

Choose correct answer/s
A
directing the voice toward the left ear.
B
speaking in a normal tone.
C
smiling while talking to seem friendly.
D
standing in front of the client.
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Question 16
Multiple Choice

The nurse is assigning an unlicensed assistive personnel (UAP) to work with a client who has a hearing aid. Which action by the UAP is inconsistent with appropriate delegation? The nurse asks the UAP to

Choose correct answer/s
A
cleanse the ear mold if needed with mild soap and water.
B
evaluate how well the client understood the nurse's earlier instructions.
C
help the client insert the ear mold into the ear.
D
turn the hearing aid off before removing it at bedtime.
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Question 17
Multiple Choice

A client's family reports that the client does not hear well. The client becomes angry and defensive and denies having a hearing problem. The best response by the nurse would be

Choose correct answer/s
A
"It seems like it's hard to listen to your family when you don't agree with them."
B
"My father has a hearing aid and is really glad he got it."
C
"There's nothing to be ashamed about having poor hearing."
D
"Why don't you believe what your family is saying?"
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Question 18
Multiple Choice

The nurse providing instructions to a client after ear surgery would tell the client that for the next 4 to 6 weeks, he/she should avoid

Choose correct answer/s
A
any physical activity.
B
blowing the nose.
C
flying in an aircraft.
D
getting the ear wet.
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Question 19
Multiple Choice

When a client who underwent vestibular surgery complains of thirst, the nurse would avoid offering this client

Choose correct answer/s
A
cola.
B
ginger ale.
C
lemonade.
D
mineral water.
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Question 20
Multiple Choice

After assisting a client with insertion of a hearing aid, the nurse would

Choose correct answer/s
A
allow the client to adjust volume before speaking.
B
cup hand over the client's ear to check for feedback.
C
explain that the whistling noise will subside in a few minutes.
D
stand in front of the client and speak loudly.
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