ENC 1102-Test #1 Review: Adult II: 39, 40, 41, 42, 63, 64

ENC 1102-Test #1 Review: Adult II: 39, 40, 41, 42, 63, 64 1. Medication that can cause hearing loss: a. Aspirin and quinine, cause irreversible hearing loss. b. Aspirin toxicity can produce bilateral tinnitus. c. IV medications, especially the aminoglycosides, are a common cause of ototoxicity, because they destroy the hair cells in the organ of Corti d. Antineoplastic agents also cause hair cell death in the cochlea, which can lead to hearing loss High doses of which medication can produce bilateral tinnitus? Aspirin While reviewing the health history of an older adult experiencing hearing loss the nurse notes the patient has had no trauma or loss of balance. What aspect of this patient’s health history is most likely to be linked to the patients hearing deficit? Routine use of quinine for management of leg cramps A patient diagnosed with arthritis has been taking aspirin and now reports experiencing tinnitus and hearing loss. What should the nurse teach this patient? The hearing loss will likely resolve with time after the drug is discontinued. Which of the following nurses actions carries the greatest potential to prevent hearing loss due to ototoxicity? Be aware of patient’s medication regimens and collaborate with other professionals accordingly. 2. Mnires Disease: what should the patient reduce from their diet to stop the recurring episodes a. Sweet pickles b. should avoid foods high in salt and/or sugar; sweet pickles are high in both The nurse is providing discharge education for a patient with a new diagnosis of Mnires disease. What food should the patient be instructed to limit or avoid? Sweet pickles 3. Foods rich in calcium: Dairy products a. Cheese and other dairy products (milk, yogurt, etc.) b. steamed broccoli c. canned salmon with bones For a client with osteoporosis, the nurse should provide which dietary instructions? “Eat more dairy products to increase your calcium intake” 4. What do you do if you observe symptoms of compartment syndrome: a. This major neurovascular problem is caused by pressure within a muscle compartment that increases to such an extent that microcirculation diminishes, leading to nerve and muscle anoxia and necrosis. b. A treatment option for compartment syndrome is fasciotomy. A patient has had a cast placed for the treatment of a humeral fracture. The nurse’s most recent assessment shows signs and symptoms of compartment syndrome. What is the nurse’s most appropriate action? Contact the primary care provider immediately 5. Bone Healing Phases: be able to recognize the 4 stages a. Stage I: Hematoma formation occurs during the first 1 to 2 days of the fracture. Bleeding into the injured tissue and local vasoconstriction occur, and a hematoma forms at the site of the fracture. Cytokines are released, initiating the fracture healing processes by causing replicating cells known as fibroblasts to proliferate, which in turn causes angiogenesis to occur (i.e., the growth of new blood vessels). Granulation tissue begins to form within the clot and becomes dense. At the same time, degranulated platelets and inflammatory cells release growth factor, which stimulates the generation of osteoclasts and osteoblasts. b. Stage II: Fibrocartilaginous callus formation occurs with the formation of granulation tissue. Fibroblasts and osteoblasts migrate into the fractured site and begin the reconstruction of bone. The fibroblasts produce a fibrocartilaginous soft callus bridge that connects the bone fragments. Although tissue repair may reach maximum girth by the end of the second or third week, it is still n