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
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Rationale: Clients with hearing problems can become frustrated and withdrawn.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 2 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.
Question 3 of 5
An older adult in the family practice clinic reports a decrease in hearing over a week. What action by the nurse is most appropriate?
Correct Answer: A
Rationale: All options are possible actions for the client with hearing loss. The first action the nurse should take is to assess for cerumen buildup, as it is a common cause of sudden hearing loss in older adults. The other actions may follow but are not the priority.
Question 4 of 5
A client had a myringotomy. The nurse provides which discharge teaching?
Correct Answer: A
Rationale: The client cannot shower or get the head wet for 1 week after surgery, so using dry shampoo is a good suggestion. The other instructions are incorrect: straws are not allowed for 2 to 3 weeks, flying is not allowed for 2 to 3 weeks, and the client should not shower.
Question 5 of 5
A client is going on a cruise but has had motion sickness in the past. What suggestion does the nurse make to this client?
Correct Answer: D
Rationale: Scopolamine can successfully treat the vertigo and dizziness associated with motion sickness. Avoiding alcohol and changing positions slowly are not effective. Telling the client to change travel plans is not a caring suggestion.