lOMoARcPSD|3013804
Chapter 43 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 43: Assessment and Care of Patients With Ear and Hearing Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse is teaching a client about ear hygiene and health. Which statement by the client
indicates a need for further teaching?
a.
“A soft cotton swab is alright to clean my ears with.”
b.
“I make sure my ears are dry after I go swimming.”
c.
“I use good earplugs when I practice with the band.”
d.
“Keeping my diabetes under control helps my hearing.”
ANS: A
Clients should be taught not to put anything larger than their fingertip into their ears. Using a
cotton swab, although soft, can cause damage to the ears and cerumen buildup. The other
statements are accurate.
DIF: Analyzing TOP: Integrated Process: Nursing Process: Evaluation
KEY: Ear and hearing health, Assessment
MSC: Client Needs Category: Health Promotion and Maintenance
2. The nurse is teaching new assistive personnel (AP) about caring for older adults. Which
statement would the nurse include about hearing ability of this client group?
a.
“You need to talk very loudly when communicating with these clients.”
b.
“You always need to check each client’s ears for excess ear wax.”
c.
“Remember to face the client when talking with him or her.”
G RA D E S L A B . C O M
d.
“Assess each client’s hearin g a b ili ty u si n g th e vo ice or whisper test.”
ANS: C
Losing one’s hearing is not a normal change of aging although high frequency sounds may
be more difficult to hear. AP does not perform assessments and it is not necessary to talk
loudly or shout unless a hearing impairment exists. Therefore, facing the client is the best
strategy when communicating with most older adults.
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Hearing assessment, Developmental stage
MSC: Client Needs Category: Health Promotion and Maintenance
3. The client’s electronic health record indicates a sensorineural hearing loss. What assessment
question does the nurse ask to determine the possible cause?
a.
“Do you feel like something is in your ear?”
b.
“Do you have frequent ear infections?”
c.
“Have you been exposed to loud noises?”
d.
“Have you been told your ear bones don’t move?”
ANS: C
Sensorineural hearing loss can occur from damage to the cochlea, the eighth cranial nerve, or
the brain. Exposure to loud music is one etiology. The other questions are related to
conductive hearing loss.
DIF: Understanding TOP: Integrated Process: Nursing Process: Assessment
Chapter 43 notes
Care Management (Keiser
University)
, lOMoARcPSD|3013804
Test Bank for Medical Surgical Nursing 10th Edition Ignatavicius (Test Bank PDF Files)
Chapter 43: Assessment and Care of Patients With Ear and Hearing Problems
Ignatavicius: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. A nurse is teaching a client about ear hygiene and health. Which statement by the client
indicates a need for further teaching?
a.
“A soft cotton swab is alright to clean my ears with.”
b.
“I make sure my ears are dry after I go swimming.”
c.
“I use good earplugs when I practice with the band.”
d.
“Keeping my diabetes under control helps my hearing.”
ANS: A
Clients should be taught not to put anything larger than their fingertip into their ears. Using a
cotton swab, although soft, can cause damage to the ears and cerumen buildup. The other
statements are accurate.
DIF: Analyzing TOP: Integrated Process: Nursing Process: Evaluation
KEY: Ear and hearing health, Assessment
MSC: Client Needs Category: Health Promotion and Maintenance
2. The nurse is teaching new assistive personnel (AP) about caring for older adults. Which
statement would the nurse include about hearing ability of this client group?
a.
“You need to talk very loudly when communicating with these clients.”
b.
“You always need to check each client’s ears for excess ear wax.”
c.
“Remember to face the client when talking with him or her.”
G RA D E S L A B . C O M
d.
“Assess each client’s hearin g a b ili ty u si n g th e vo ice or whisper test.”
ANS: C
Losing one’s hearing is not a normal change of aging although high frequency sounds may
be more difficult to hear. AP does not perform assessments and it is not necessary to talk
loudly or shout unless a hearing impairment exists. Therefore, facing the client is the best
strategy when communicating with most older adults.
DIF: Understanding TOP: Integrated Process: Teaching/Learning
KEY: Hearing assessment, Developmental stage
MSC: Client Needs Category: Health Promotion and Maintenance
3. The client’s electronic health record indicates a sensorineural hearing loss. What assessment
question does the nurse ask to determine the possible cause?
a.
“Do you feel like something is in your ear?”
b.
“Do you have frequent ear infections?”
c.
“Have you been exposed to loud noises?”
d.
“Have you been told your ear bones don’t move?”
ANS: C
Sensorineural hearing loss can occur from damage to the cochlea, the eighth cranial nerve, or
the brain. Exposure to loud music is one etiology. The other questions are related to
conductive hearing loss.
DIF: Understanding TOP: Integrated Process: Nursing Process: Assessment
