Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim
$2.99
Chapter 43, Caring for Clients With Ear Disorders
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | You are teaching the daughter how to instill ear drops of her father to remove impacted cerumen. What is important to teach this woman? | |
| A) | Insert the irrigating syringe deeply. | |
| B) | Direct the flow of the ear drops toward the eardrum. | |
| C) | Refrigerate before instillation. | |
| D) | Place the container in warm water before instillation. | |
| Ans: | D | |
| Feedback: | ||
| If irrigation or instillation of liquids is ordered, the nurse should warm the liquid to body temperature by placing the container in warm water. Cold or hot liquids cause dizziness, and the potential for injury exists if the liquid is hot. The nurse should avoid inserting the irrigating syringe too deeply so as not to close off the auditory canal. The nurse should direct the flow toward the roof of the canal, rather than the eardrum. | ||
| 2. | A client comes to the walk-in clinic complaining of a “bug in my ear.” What action should be taken when there is an insect in the ear? | |
| A) | Instillation of mineral oil | |
| B) | Instillation of carbamide peroxide | |
| C) | Instillation of hot water | |
| D) | Use of a small forceps | |
| Ans: | A | |
| Feedback: | ||
| Mineral oil is instilled into the ear to smother an insect. Carbamide peroxide is used to soften dried cerumen, and small forceps are used to remove solid objects. Hot liquids cause dizziness and should not be instilled in the ear. | ||
| 3. | You are teaching a class on diseases of the ear. What would you teach the class is the most characteristic symptom of otosclerosis? | |
| A) | The client being distressed in the mornings | |
| B) | A progressive, bilateral loss of hearing | |
| C) | A red and swollen ear drum | |
| D) | The client describing a recent upper respiratory infection | |
| Ans: | B | |
| Feedback: | ||
| A progressive, bilateral loss of hearing is the characteristic symptom of otosclerosis. Tinnitus appears as the loss of hearing progresses; it is especially noticeable at night, when surroundings are quiet, and may be quite distressing to the client. The eardrum appears pinkish-orange from structural changes in the middle ear. The client often describes a history of having had a recent upper respiratory infection in case of otitis media, not otosclerosis. | ||
| 4. | You are admitting a client with an acoustic neuroma to your unit. What would you include during the assessment of this client? | |
| A) | Measure the client’s urine output. | |
| B) | Note the client’s height and weight. | |
| C) | Test the client’s ability to sustain balance. | |
| D) | Test for facial sensation. | |
| Ans: | D | |
| Feedback: | ||
| The assessment of a client with an acoustic neuroma includes evaluating hearing function, observing the client’s facial movements, and testing for facial sensation. The client’s urine output, height and weight, and ability to sustain balance, although important, are not as essential as testing for facial sensation. | ||
| 5. | A nursing student is presenting a report on Ménière’s disease to other members of the class. What symptom would the student list? | |
| A) | Pinkish-orange eardrum | |
| B) | Nystagmus of the eyes | |
| C) | Enlarged lymph nodes behind the ear | |
| D) | Swelling and redness in the auditory canal | |
| Ans: | B | |
| Feedback: | ||
| Nystagmus of the eyes may occur in a client with Ménière’s disease caused by an imbalance in vestibular control of eye movements. Pinkish-orange eardrums, enlarged lymph nodes, or swelling and redness in the auditory canal are not observed in a client with Ménière’s disease. | ||
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $499.00.$49.00Current price is: $49.00.