ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 64 : Assessment and Management of Patients with Hearing and Balance Disorders Questions
Question 1 of 5
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: C
Rationale: A healthy tympanic membrane is pearly gray. Yellowish-white, pink, or bluish-white colors suggest inflammation or other pathology.
Question 2 of 5
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: D
Rationale: Ventilation tubes are commonly used for recurrent AOM to equalize pressure and drain fluid, preventing further infections. Ossiculoplasty, cochlear implants, and stapedectomy address other conditions.
Question 3 of 5
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: C,E
Rationale: Cholesteatomas, often caused by chronic otitis media, require surgical removal to prevent complications like bone erosion. They are not self-limiting, metastatic, or typically painful.
Question 4 of 5
On otoscopy, a red blemish behind the tympanic membrane is suggestive of what diagnosis?
Correct Answer: D
Rationale: A red blemish behind the tympanic membrane is characteristic of glomus tympanicum, a vascular tumor. Acoustic tumors, cholesteatomas, and neuromas do not typically present this way.
Question 5 of 5
The nurse is discharging a patient home after mastoid surgery. What should the nurse include in discharge teaching?
Correct Answer: D
Rationale: Avoiding nose blowing for 2-3 weeks prevents pressure changes that could dislodge grafts or prostheses. Sneezing, exercise, or side-lying are not contraindicated.