Chapter 40--Auditory Dysfunction: Nursing Management

Chapter 40–Auditory Dysfunction: Nursing Management

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A client is not able to successfully pass the whisper test. Which of the following would be indicated for this client?

1.	Head CT scan
2.	Audiometry
3.	MRI of the brain
4.	Electroencephalogram

 

 

ANS:  2

Failure to pass the whisper test would indicate the need for formal audiometry testing. The client would not need a head CT or MRI at this time. An electroencephalogram is not necessary.

 

PTS:   1                    DIF:    Analyze

REF:   Auditory Dysfunction: Assessment with Clinical Manifestations

 

2. A client is prescribed a medication that is ototoxic. The nurse realizes that this medication may cause:

1.	permanent or temporary vision loss.
2.	permanent or temporary hearing loss.
3.	nausea and vomiting.
4.	central nervous system (CNS) depression.

 

 

ANS:  2

Although many drugs cause nausea and vomiting and central nervous system (CNS) depression, ototoxic drugs cause hearing loss and the risks must be considered prior to suggesting these types of medications.

 

PTS:   1                    DIF:    Analyze

REF:   Auditory Dysfunction: Ototoxic Medications and Auditory Dysfunction

 

3. The nurse is trying to communicate with a hearing-impaired client. The best way to do this is to:

1.	write down all of the message.
2.	shout in the impaired ear.
3.	speak slowly and clearly while facing the client.
4.	talk in a regular voice in the good ear.

 

 

ANS:  3

When trying to communicate with the hearing-impaired client, the nurse should speak slowly and clearly while facing the client to give her the opportunity to see and hear the words being spoken. The nurse should not write down all of the messages. Shouting in the impaired ear will not improve the client’s hearing. Talking in a regular voice into the good ear will not improve hearing.

 

PTS:   1                    DIF:    Apply

REF:   Nursing Strategy: Communicating with the Hearing Impaired

 

4. A client is diagnosed with a conductive hearing loss. The nurse realizes type of hearing loss is not associated with:

1.	cerumen.
2.	brain damage.
3.	otitis media.
4.	otosclerosis.

 

 

ANS:  2

Conductive hearing loss results in a blockage of sound waves in the external or middle portions of the ear. Wax (cerumen) buildup and infections are a large part of conductive hearing loss. Otosclerosis is associated with conductive hearing loss. Brain damage is not a cause of conductive hearing loss.

 

PTS:   1                    DIF:    Analyze         REF:   Conductive Hearing Loss

 

5. A client is complaining of dizziness, unilateral ringing in the ear, feeling of pressure or fullness in the ear, and unilateral hearing loss. The nurse would suspect the client is experiencing:

1.	Ménière’s disease.
2.	osteosclerosis.
3.	otitis media.
4.	mastoiditis.

 

 

ANS:  1

All of the client’s complaints are signs and symptoms of Ménière’s disease. Although hearing disorders may have similar signs and symptoms, they do not include all of them.

 

PTS:     1          DIF:     Analyze           REF:    Meniere’s Disease