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
The nurse is caring for a patient who has undergone a mastoidectomy. In an effort to prevent postoperative infection, what intervention should the nurse implement?
Correct Answer: B
Rationale: Keeping the ear dry for 6 weeks post-mastoidectomy prevents infection by avoiding water entry into the surgical site. Ototoxic drugs, cerumen removal, or temperature extremes are not infection-related risks.
Question 2 of 5
A patient is being discharged home after mastoid surgery. What topic should the nurse include in discharge teaching?
Correct Answer: C
Rationale: Teaching about analgesics and antivertiginous agents supports safe management of pain and vertigo post-mastoidectomy. Facial nerve changes are complications, audiometry is not routine, and OTC ear drops are not recommended.
Question 3 of 5
After mastoid surgery, an 81-year-old patient has been identified as needing assistance in her home. What would be a primary focus of this patients home care?
Correct Answer: D
Rationale: Post-mastoidectomy vertigo increases fall risk, making ambulation assistance a primary home care focus, especially for an elderly patient. Diet, rest, and hearing loss are not primary concerns.
Question 4 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 5 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.