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 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 2 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 3 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 4 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.
Question 5 of 5
An advanced practice nurse has performed a Rinne test on a new patient. During the test, the patient reports that air-conducted sound is louder than bone-conducted sound. How should the nurse best interpret this assessment finding?
Correct Answer: A
Rationale: A Rinne test showing louder air-conducted sound indicates normal hearing or sensorineural loss, but in context, normal hearing is most likely. Tinnitus and otosclerosis are not directly assessed by this test.