ATI LPN
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e (Hinkle 2017)
Chapter 64 Questions
Question 1 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 2 of 5
A patient has been diagnosed with serous otitis media for the third time in the past year. How should the nurse best interpret this patients health status?
Correct Answer: C
Rationale: Recurrent unilateral serous otitis media in adults may indicate nasopharyngeal cancer obstructing the eustachian tube, requiring evaluation. It is not age-related, does not require mobility restriction, and is not systemic.
Question 3 of 5
A patient diagnosed with arthritis has been taking aspirin and now reports experiencing tinnitus and hearing loss. What should the nurse teach this patient?
Correct Answer: A
Rationale: Aspirin-induced ototoxicity, causing tinnitus and hearing loss, is typically reversible upon discontinuation. It is directly related to aspirin, not multifactorial, and tolerance does not resolve it.
Question 4 of 5
A patient with otosclerosis has significant hearing loss. What should the nurse do to best facilitate communication with the patient?
Correct Answer: A
Rationale: Standing in front allows the patient to see facial expressions and potentially lip-read, aiding communication. Exaggerated movements distort speech, backlighting causes glare, and shouting may not help.
Question 5 of 5
A patient with mastoiditis is admitted to the post-surgical unit after undergoing a radical mastoidectomy. The nurse should identify what priority of postoperative care?
Correct Answer: A
Rationale: Facial nerve injury during mastoidectomy can cause mouth droop and decreased lateral gaze, making this a priority assessment. Middle ear pressure, hearing loss, or scar tissue are not immediate postoperative concerns.