Med Surg EAQ Test #2
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What is the purpose of tympanometry testing? Assess the patency of the external canal
What statement about self-irrigating the ears to remove A hair dryer can be used to dry the ear afterwards.
ear wax is correct?
A client with a hearing problem is scheduled to undergo It requires the client to do simple math problems
electronystagmography (ENG). What statement about
ENG is correct?
During a routine examination, the nurse notices impacted Self-irrigate the ears anytime, weekly or monthly
earwax in the client's ear. After removing the wax, the
nurse teaches the client how to self-irrigate the ear for
earwax removal at home. What does the nurse teach the
client?
Which statement about the inner ear is correct? The vestibule contains the utricle and the saccule which are essential for balance.
The nurse is teaching a client how to self-irrigate the ear "I should irrigate the ear to remove pus before instilling ear drops."
to remove earwax. What statement by the client indicates
a need for further teaching?
The nurse is teaching a client how to remove earwax at "You can put mineral oil into the ear about an hour before you remove the wax."
home. What information is most important for the nurse
to include?
The nursing instructor is teaching nursing students about The scala tympani is filled with perilymph
the structure and function of the inner ear. What
statement made by a student indicates a correct
understanding of the information?
, Which statement about the transmission of sound is The organ of Corti transducer vibrations into action potentials
accurate?
A client is scheduled for electronystagmography (ENG). ENG determines abnormalities in the brainstem
What does this procedure entail?
A client reports that cerumen buildup is causing hearing -Place a drop of warm ceruminolytic fluid in the ear an hour before irrigation
difficulty. What does the nurse teach the client about self -Apply gentle but firm, continuous pressure to the syringe
irrigation. Select all that apply. -Tilt the head at a 90-degree angle to the side after irrigation
When assessing a client, the nurse notices small, crusted, Squamous cell carcinoma
and ulcerated lesions on the pinna. What possible
condition does the nurse suspect?
An older client is concerned that the coarse, long hair in The ear must be irrigated frequently
the ear canal is causing loss of hearing. What does the
nurse tell the client?
What chemotherapy agents are ototoxic? Actinomycin and Bleomycin
The nurse is preparing a client with possible hearing "One-syllable words will be presented to you at about 30dB above the speech
problem for a speech discrimination test. What does the reception threshold."
nurse instruct the client about the test?
The nurse is assessing a client with recent changes in Erythromycin, Ibuprofen (Advil), Furosemide (lasix)
hearing. After taking a medication history, which drugs
does the nurse identify as possible causes of the client's
hearing change?
The nurse is conducting a Dix-Hallpike test for vertigo. Do not blink during the test
What instructions does the nurse give the client before Double vision may occur during the test
the test? The test will be conducted in a sitting position
What instructions does the nurse provide when preparing The test will diagnose conducive hearing loss.
a client for an auditory brainstem-evoke response test? The test will diagnose sensorineural hearing loss.
The nurse is screening a client for ear and hearing There are multiple light reflexes on otoscopic assessment
problems. What finding indicates the need for further
assessment of the client's hearing ability?
A client reporting dizziness and nausea is scheduled for "This test will evaluate the nerve that carries hearing information to your brain."
caloric testing to assess balance. What does the nurse tell "Warm water or warm air will be infused into your ear during the test."
the client while explaining the procedure? Select all that "After the test, you will be on bed rest for a while."
apply.
Which statement about the bones of the middle ear is The incus transmits vibrations from the malleus
correct?
A client who attended a rock concert the previous day 120 decibels
was likely exposed to what intensity of sound?