For Chapter 59: Assessment
and Management of Patients
with Hearing and Balance
Disorders.
The clinic nurse is assessing a child who has been brought to the clinic
with signs and symptoms that are suggestive of otitis externa. What
assessment finding is characteristic of this diagnosis?
A. Tophi on the pinna and ear lobe
B. Dark yellow cerumen in the external auditory canal
,C. Pain on manipulation of the auricle
D. Air bubbles visible in the middle ear - ANSWER ✔✔C. Pain on
manipulation of the auricle
While reviewing the health history of an older adult experiencing hearing
loss the nurse notes the client has had no trauma or loss of balance.
What aspect of this client's health history is most likely to be linked to the
client's hearing deficit?
A. Recent completion of radiation therapy for treatment of thyroid cancer
B. Routine use of quinine for management of leg cramps
C. Allergy to hair coloring and hair spray
D. Previous perforation of the eardrum - ANSWER ✔✔B) Routine use
of quinine for management of leg cramps
A nurse is planning preoperative teaching for a client with hearing loss
due to otosclerosis. The client is scheduled for a stapedectomy with
insertion of a prosthesis.
What information is most crucial to include in the client's preoperative
teaching?
A. The procedure is an effective, time-tested treatment for sensory
hearing loss.
, B. The client is likely to experience resolution of conductive hearing loss
after the procedure.
C. Several months of postprocedure rehabilitation will be needed to
maximize benefits.
D. The procedure is experimental, but early indications suggest great
therapeutic benefits. - ANSWER ✔✔B. The client is likely to
experience resolution of conductive hearing loss after the procedure.
The nurse is providing discharge education for a client with a new
diagnosis of Ménière disease. What food should the client be instructed
to limit or avoid?
A. Sweet pickles
B. Frozen yogurt
C. Shellfish
D. Red meat - ANSWER ✔✔A. Sweet pickles
Following a motorcycle accident, an adolescent client is brought to the
ED. What physical assessment findings related to the ear should be
reported by the nurse immediately?
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