ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 48 : Assessment and Care of Patients with Ear and Hearing Problems Questions
Question 1 of 5
A client hospitalized for a wound infection has a blood urea nitrogen of 45 mg/dL and creatinine of 4.2 mg/dL. What action by the nurse is most appropriate?
Correct Answer: D
Rationale: Elevated blood urea nitrogen (BUN) and creatinine levels suggest renal impairment, which can affect drug metabolism and increase the risk of ototoxicity from certain medications. Consulting with the healthcare provider is the most appropriate action to ensure safe care. The other options may be relevant but are not the priority.
Question 2 of 5
A client with labyrinthitis is prescribed antibiotics. What instruction is most important for the nurse to include?
Correct Answer: A
Rationale: Meningitis is a complication of labyrinthitis. The client should be taught to take all antibiotics as prescribed and to report manifestations of meningitis such as fever, headache, or stiff neck. Keeping follow-up appointments is important for all clients. Without knowing what antibiotic was prescribed, the nurse cannot instruct the client on how to take it.
Question 3 of 5
A client with Ménière's disease is in the hospital when the client has an attack of this disorder. What action by the nurse takes priority?
Correct Answer: C
Rationale: Clients with Ménière's disease can have vertigo so severe that they can fall. The nurse should assist the client into bed and raise the upper siderails to prevent falls due to the intense whirling feeling. The other actions are not warranted for clients with Ménière's disease.
Question 4 of 5
A client is scheduled to have a tumor of the middle ear removed. What teaching topic is most important for the nurse to cover?
Correct Answer: A
Rationale: Removal of an inner ear tumor will likely destroy hearing in the affected ear. The other teaching topics are appropriate for any surgical client but are not the most critical in this case.
Question 5 of 5
A nursing student studying the auditory system learns about the structures of the inner ear. What structures does this include? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: The cochlea, organ of Corti, semicircular canals, and vestibule are all part of the inner ear. The epitympanum is in the middle ear.