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 nurse is teaching a client about ear hygiene and health. What client statement indicates a need for further teaching?
Correct Answer: A
Rationale: Clients should be taught not to put anything larger than their fingertip into their ears. Using a cotton swab, although soft, can cause damage to the ears and cerumen buildup. The other statements are accurate.
Question 2 of 5
The student nurse is performing a Weber tuning fork test. What technique is most appropriate?
Correct Answer: B
Rationale: The Weber tuning fork test involves placing the vibrating tuning fork in the middle of the client's head and asking in which ear the client hears the vibrations loudest. The other techniques are incorrect.
Question 3 of 5
The clients chart indicates a sensorineural hearing loss. What assessment question does the nurse ask to determine the possible cause?
Correct Answer: C
Rationale: Sensorineural hearing loss can occur from damage to the cochlea, the eighth cranial nerve, or the brain. Exposure to loud noises is one etiology. The other questions relate to conductive hearing loss.
Question 4 of 5
The nurse works with clients who have hearing problems. Which action by a client best indicates goals for an important diagnosis have been met?
Correct Answer: C
Rationale: Clients with hearing problems can become frustrated and withdrawn. The client who is actively engaged in the community shows the best evidence of psychosocial adjustment to hearing loss. Babysitting the grandchildren is a positive sign but does not indicate involvement outside the home. Having an adaptive device is not the same as being actively engaged outside the home. Responding agreeably does not indicate the client will actually follow through.
Question 5 of 5
A client has external otitis. On what comfort measure does the nurse instruct the client?
Correct Answer: C
Rationale: A heating pad on low or a warm moist pack can provide comfort to the client with otitis externa. The other options are not warranted.