CHAPTER 42: AGENTS USED IN THE TREATMENT OF EAR DISORDERS

CHAPTER 42: AGENTS USED IN THE TREATMENT OF EAR DISORDERS

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is aware that which of the following is a likely precursor to the development of otitis media in adults?

a.	trauma to the external ear	c.	using a straw to drink fluids.
b.	dental caries	d.	influenza

 

 

ANS:  B

 

	Feedback
A	Incorrect: A cause is trauma to the tympanic membrane.
B	Correct: This is among the causes of otitis media in adults.
C	Incorrect: This is not a cause of otitis media.
D	Incorrect: This is a common cause in children.

 

 

PTS:   1                    REF:   p. 1002          OBJ:   Cognitive Level: Comprehension

 

2. Which of the following ototopical antibiotics is commonly used in the treatment of otitis media?

a.	ciprofloxacin	c.	amoxicillin
b.	hydrocortisone	d.	gentamicin

 

 

ANS:  A

 

	Feedback
A	Correct: This is a common ototopical antibiotic used to treat otitis media in adults.
B	Incorrect: This is an anti-inflammatory agent.
C	Incorrect: This is an oral anti-infective used to treat otitis media in children.
D	Incorrect: Gentamicin carries a risk of ototoxicity and is not used as an otic anti-infective.

 

 

PTS:   1                    REF:   p. 1002          OBJ:   Cognitive Level: Comprehension

 

3. A nurse is being treated for otitis media from using an improperly cleaned stethoscope. He requests which of the following for the pain associated with this condition?

a.	xylocaine	c.	pramoxine and benzocaine
b.	hydrocortisone	d.	aluminum acetate/acetic acid

 

 

ANS:  C

 

	Feedback
A	Incorrect: This is not an appropriate otic anesthetic.
B	Incorrect: This is an anti-inflammatory that may help the pain, but is not the best choice.
C	Correct: This agent will decrease swelling, congestion, and pain associated with OM.
D	Incorrect: This is an antimicrobial used to treat OM.

 

 

PTS:   1                    REF:   p. 1003-1004

OBJ:   Cognitive Level: Comprehension

 

4. When administering eardrops to a child, the nurse would:

a.	Pull the pinna up and back.	c.	Pull the pinna down and back.
b.	Pull the pinna up and forward.	d.	Pull the pinna down and forward.

 

 

ANS:  C

 

	Feedback
A	Incorrect: This is used to administer ear drops to adults.
B	Incorrect: This is not an appropriate position.
C	Correct: This is used to administer ear drops to a child.
D	Incorrect: This is not an appropriate position.

 

 

PTS:   1                    REF:   p. 1005, Figure 42-3

OBJ:   Cognitive Level: Application

 

5. When teaching parents about administration of otic medications at home, the nurse recognizes the parents understand the teaching when they remark:

a.	“The medication may be carefully applied with a cotton swab.”
b.	“We should warm the medication to body temperature prior to administration.”
c.	“Medications may be kept at the bedside for easy access.”
d.	“I need to purchase sterile gloves to administer her medications.”

 

 

ANS:  B

 

	Feedback
A	Incorrect: Cotton swabs should never be put in the ears.
B	Correct: This indicates parental understanding of teaching.
C	Incorrect: All medications should be kept out of the reach of children.
D	Incorrect: Administering otic medications is a clean procedure.

 

 

PTS:   1                    REF:   p. 1005, Safe Nursing Practice 42-1

OBJ:   Cognitive Level: Evaluation