ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 43 : Caring for Clients With Ear Disorders Questions
Question 1 of 5
A nursing student is presenting a report on M?©ni?¨re disease to other members of the class. What symptom would the student list?
Correct Answer: B
Rationale: Nystagmus of the eyes may occur in a client with M?©ni?¨re disease caused by an imbalance in vestibular control of eye movements. Pinkish-orange eardrums, enlarged lymph nodes, or swelling and redness in the auditory canal are not observed in a client with M?©ni?¨re disease.
Question 2 of 5
There are several types of hearing loss. Which type of hearing loss benefits from the use of a hearing aid?
Correct Answer: B
Rationale: Diminished hearing results from a conductive loss, sensorineural loss, or both. Clients with a conductive hearing loss benefit more from the use of a hearing aid because the structures that convert sound into energy and facilitate perception of sound in the brain continue to function. Genetic and acquired are not types of hearing loss.
Question 3 of 5
A nursing instructor is teaching pre-nursing students in a pathophysiology class. What would the instructor teach the students about M?©ni?¨re disease?
Correct Answer: A
Rationale: When a person moves the head, the endolymph also moves, and nerve receptors within the membranous labyrinth send signals to the brain about the movement. In M?©ni?¨re disease, an increase in endolymph causes the membranous labyrinth to dilate like a balloon; this is referred to as endolymphatic hydrops. M?©ni?¨re disease does not originate in either the middle or the outer ear, and it is not referred to as lymphatic hydrops.
Question 4 of 5
The nurse is caring for a client who is post-stapedectomy. What would the nurse include in the nursing care?
Correct Answer: D
Rationale: After surgery, the nurse positions the client on the nonoperative side and takes care to prevent dislodgment of the prosthesis as a result of coughing, sneezing, or vomiting. Nausea and dizziness are common problems. The nurse assesses facial nerve function by checking symmetry when the client smiles or frowns. The nurse does not keep the ear packed with cotton or encourage the client to exercise.
Question 5 of 5
The nurse is caring for a client experiencing hearing loss. The nurse uses the otoscope to assess the ear canal and tympanic membrane and notes a significant accumulation of cerumen. Which documentation of hearing loss type would be accurate?
Correct Answer: A
Rationale: Conductive hearing loss occurs from an obstruction in the outer or middle ear such as from cerumen. Mixed hearing loss is a combination of conductive and sensorineural problems. Central hearing loss involves injury or damage to the nerves or the nuclei of the central nervous system. Sensorineural involves damage to the inner ear.