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 hearing-impaired patient is scheduled to have an MRI. What would be important for the nurse to remember when caring for this patient?
Correct Answer: A
Rationale: During an MRI, a hearing-impaired patient cannot hear verbal communication due to the dark, noisy environment, requiring alternative communication methods. Sign language or lip reading may not be feasible.
Question 2 of 5
The nurse and a colleague are performing the Epley maneuver with a patient who has a diagnosis of benign paroxysmal positional vertigo. The nurses should begin this maneuver by performing what action?
Correct Answer: B
Rationale: The Epley maneuver starts with the patient sitting, followed by specific head positioning to reposition canaliths. Prone positioning, saline instillation, or hearing tests are not part of the procedure.
Question 3 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 4 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 5 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.