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 nurse is planning preoperative teaching for a patient with hearing loss due to otosclerosis. The patient is scheduled for a stapedectomy with insertion of a prosthesis. What information is most crucial to include in the patients preoperative teaching?
Correct Answer: B
Rationale: Stapedectomy corrects conductive hearing loss caused by otosclerosis by replacing the fixed stapes with a prosthesis, restoring sound conduction. It is not for sensory hearing loss, not experimental, and does not require lengthy rehabilitation.
Question 2 of 5
Which of the following nursing interventions would most likely facilitate effective communication with a hearing-impaired patient?
Correct Answer: C
Rationale: Reducing environmental noise enhances the patient's ability to hear and focus, improving communication. Asking to repeat may frustrate, raising the voice distorts sound, and not all patients lip-read effectively.
Question 3 of 5
The nurse is providing discharge education for a patient with a new diagnosis of Mnires disease. What food should the patient be instructed to limit or avoid?
Correct Answer: A
Rationale: Mnires disease is exacerbated by high salt and sugar intake, which sweet pickles contain. Dairy, shellfish, and red meat are not contraindicated unless processed or canned.
Question 4 of 5
Following a motorcycle accident, a 17-year-old man is brought to the ED. What physical assessment findings related to the ear should be reported by the nurse immediately?
Correct Answer: D
Rationale: Clear, watery ear drainage post-trauma suggests cerebrospinal fluid leak from a skull fracture, requiring immediate reporting. Visualizing the malleus or a pearly gray tympanic membrane is normal, and mastoid tenderness, while notable, is less urgent.
Question 5 of 5
A patient has been diagnosed with hearing loss related to damage of the end organ for hearing or cranial nerve VIII. What term is used to describe this condition?
Correct Answer: C
Rationale: Sensorineural hearing loss results from damage to the cochlea or cranial nerve VIII. Exostoses are bony growths, otalgia is ear pain, and presbycusis is age-related hearing loss.