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
The nurse is caring for a client in the triage section of a walk-in clinic. Which triad of common symptoms suggests a diagnosis of M?©ni?¨re disease?
Correct Answer: D
Rationale: Hearing loss, vertigo, and tinnitus are common symptoms of many disease processes but, when placed together, indicate M?©ni?¨re disease. The other options do not include the accurate triad of symptoms.
Question 2 of 5
The nurse is instructing a client's family members on the most incapacitating symptom of M?©ni?¨re disease. Which nursing instruction associated with the symptom is most helpful?
Correct Answer: A
Rationale: The most incapacitating symptom of M?©ni?¨re disease is vertigo. When the client is experiencing vertigo or dizziness, gait becomes unsteady. Having a person assist the client when ambulating is most helpful in preventing falls. Keeping a bucket at the bedside is helpful if the client is experiencing nausea. Photophobia is not a main symptom of M?©ni?¨re disease. If the client experiences hearing loss, being able to see the nurse's lips may be helpful.
Question 3 of 5
The nurse is assisting the client in planning care during exacerbations of M?©ni?¨re disease. Which diet would the nurse identify as appropriate at this time?
Correct Answer: B
Rationale: Treatment for M?©ni?¨re disease is related to reducing fluid production in the inner ear, facilitating its drainage, and treating the symptoms that accompany the attack. A low-sodium and sodium-free diet lessens edema.
Question 4 of 5
The nurse is caring for a client being treated for M?©ni?¨re disease. Which medication is monitored closely due to its addictive properties?
Correct Answer: C
Rationale: Diazepam is used to treat the client with M?©ni?¨re disease to help control vertigo. Diazepam is a tranquilizer that has addictive properties. The other options, used in the treatment of M?©ni?¨re's disease, do not have any or significant addictive properties.
Question 5 of 5
The nurse is caring for a client with symptoms of ototoxicity from aminoglycoside administration. On which structure does the medication produce the ototoxic effect?
Correct Answer: B
Rationale: Ototoxicity describes the detrimental effect of aminoglycosides on the eighth cranial nerve. Signs and symptoms include tinnitus and sensorineural bearing. The other options are not related to the ototoxic effects.