MSN NCLEX Exam for Care of the Clients with Ear Disorder
MSN NCLEX Exam for Care of the Clients with Ear Disorder
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MSN NCLEX Exam for Care of the Clients with Ear Disorder (PM)
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Question 1
The nurse has notes that the physician has a diagnosis of presbycusis on the client’s chart. The nurse plans care knowing the condition is:
A
Nystagmus that occurs with aging
B
A sensorineural hearing loss that occurs with aging
C
Tinnitus that occurs with aging
D
A conductive hearing loss that occurs with aging.
Question 1 Explanation:
Presbycusis is a type of hearing loss that occurs with aging. Presbycusis is a gradual sensorineural loss caused by nerve degeneration in the inner ear or auditory nerve.
Question 2
Otosclerosis is a common cause of conductive hearing loss. Which such a partial hearing loss:
A
Air conduction is more effective than bone conduction
B
Stapedectomy is the procedure of choice
C
The client is usually unable to hear bass tones
D
Hearing aids usually restore some hearing
Question 2 Explanation:
With a partial hearing loss that auditory ossicles have not yet become fixed; as long as vibrations occur, a hearing aid may be beneficial.
Question 3
The nurse has conducted discharge teaching for a client who had a fenestration procedure for the treatment of otosclerosis. Which of the following, if stated by the client, would indicate that teaching was effective?
A
“I will take stool softeners as prescribed by my doctor.”
B
“I should drink liquids through a straw for the next 2-3 weeks.”
C
“I can resume my penis lessons starting next week.”
D
“It’s ok to take a shower and wash my hair.”
Question 3 Explanation:
Following ear surgery, the client needs to avoid straining while having a bowel movement. The client needs to be instructed to avoid drinking through a straw for 2-3 weeks, air travel, and coughing excessively. The client needs to avoid getting his or her hair wet, washing hair, showering for 1 week, and rapidly moving the head, bouncing, and bending over for 3 weeks.
Question 4
A nurse would question an order to irrigate the ear canal in which of the following circumstances?
A
Ear pain
B
Otitis externa
C
Hearing loss
D
Perforated tympanic membrane
Question 4 Explanation:
Irrigation of the ear canal is contraindicated with perforation of the tympanic membrane because the solution entering the inner ear may cause dizziness, nausea, vomiting, and infection.
Question 5
A labyrinthectomy can be preformed to treat Meniere’s syndrome. This procedure results in:
A
Absence of pain
B
Reduction in cerumen
C
Anosmia
D
Permanent irreversible deafness
Question 5 Explanation:
The labyrinth is the inner ear and consists of the vestibule, cochlea, semicircular canals, utricle, saccule, cochlear duct, and membraneous semicircular canals. A labrinthectomy is preformed to alleviate the symptoms of vertigo but results in deafness, because the organ of Corti and cochlear nerve are located in the inner ear.
Question 6
A client with Meniere’s disease is experiencing severe vertigo. Which instruction would the nurse give to the client to assist in controlling the vertigo?
A
Increase sodium in the diet
B
Lie still and watch the television
C
Avoid sudden head movements
D
Increase fluid intake to 3000 ml a day
Question 6 Explanation:
The nurse instructs the client to make slow head movements to prevent worsening of the vertigo. Dietary changes such as salt and fluid restrictions that reduce the amount of endolymphatic fluid sometimes are prescribed. Lying still and watching television will not control vertigo.
Question 7
Physiologically, the middle ear, containing the three ossicles, serves primarily to:
A
Translate sound waves into nerve impulses
B
Amplify the energy of sound waves entering the ear
C
Communicate with the throat via the Eustachian tube.
D
Maintain balance
Question 7 Explanation:
The middle ear contains the three ossicles—malleus, incus, and stapes—which, along with the tympanic membrane and oval window, form an amplifying system.
Question 8
Nerve deafness would most likely result from an injury or infection that damaged the:
A
Cochlear nerve
B
Vagus nerve
C
Vestibular nerve
D
Trigeminal nerve
Question 8 Explanation:
Because the organ of hearing is the organ of Corti, located in the cochlea, nerve deafness would most likely accompany damage to the cochlear nerve.
Question 9
A client is diagnosed with a disorder involving the inner ear. Which of the following is the most common client complaint associated with a disorder in this part of the ear?
A
Pruritus
B
Burning of the ear
C
Tinnitus
D
Hearing loss
Question 9 Explanation:
Tinnitus is the most common complaint of clients with otological disorders, especially disorders involving the inner ear. Symptoms of tinnitus range from mild ringing in the ear, which can go unnoticed during the day, to a loud roaring in the ear, which can interfere with the client’s thinking process and attention span.
Question 10
When teaching the client about Meniere’s disease, which of the following instructions would a nurse give about vertigo?
A
Drive in daylight hours only
B
Get up slowly, turning the entire body
C
Change your position using the logroll method
D
Report dizziness at once
Question 10 Explanation:
Turning the entire body, not the head, will prevent vertigo. Dizziness is expected but can be prevented. The client shouldn’t drive as he may reflexively turn the wheel to correct vertigo. Turning the client in bed slowly and smoothly will be helpful; logrolling isn’t needed.
Question 11
The ear bones that transmit vibrations to the oval window of the cochlea are found in the:
A
Eustachian tube
B
Inner ear
C
Middle ear
D
Outer ear
Question 11 Explanation:
The bones in the middle ear transmit and amplify air pressure waves from the tympanic membrane to the oval window of the cochlea, which is the inner ear. The tympanic membrane separates the other from the middle ear.
Question 12
The nurse is reviewing the physician’s orders for a client with Meniere’s disease. Which diet will most likely be prescribed?
A
Low-carbohydrate diet
B
Low-sodium diet
C
Low-fat diet
D
Low-cholesterol diet
Question 12 Explanation:
Dietary changes such as salt and fluid restrictions that reduce the amount of endolymphatic fluid sometimes are prescribed.
Question 13
Which of the following interventions is essential when instilling Cortisporin suspension, 2 gtt right ear?
A
Holding an emesis basin under the client’s ear
B
Warming the solution to prevent dizziness
C
Positioning the client in the semi-fowlers position
D
Verifying the proper client and route
Question 13 Explanation:
When giving medications, a nurse follows the five R’s of medication administration. The drops may be warmed to prevent pain or dizziness, but this action is not essential. An emesis basin would be used for irrigation of the ear. Put the client in the lateral position to prevent the drops from draining out for 5 minutes, not semi-fowlers position.
Question 14
The nurse is performing a voice test to assess hearing. Which of the following describes the accurate procedure for performing this test?
A
Whisper a statement with the examiners back facing the client
B
Stand 4 feet away from the client to ensure that the client can hear at this distance.
C
Whisper a statement while the client blocks both ears.
D
Whisper a statement and ask the client to repeat it.
Question 14 Explanation:
The examiner stands 1-2 feet away from the client and asks the client to block one external ear canal. The nurse whispers a statement and asks the client to repeat it. Each ear is tested separately.
Question 15
A client arrives at the emergency room with a foreign body in the left ear that has been determined to be an insect. Which intervention would the nurse anticipate to be prescribed initially?
A
Instillation of corticosteroids ear drops
B
Instillation of diluted alcohol
C
Irrigation of the ear
D
Instillation of antibiotic ear drops
Question 15 Explanation:
Insects are killed before removal unless they can be coaxed out by a flashlight or a humming noise. Mineral oil or diluted alcohol is instilled into the ear to suffocate the insect, which then is removed by using forceps. When the foreign object is vegetable matter, irrigation is not used because this material expands with hydration and the impaction becomes worse.
Question 16
During a hearing assessment, the nurse notes that the sound lateralizes to the clients left ear with the Weber test. The nurse analyzes this result as:
A
A normal finding
B
A sensorineural or conductive loss
C
A conductive hearing loss in the right ear
D
The presence of nystagmus
Question 16 Explanation:
In the Weber tuning fork test the nurse places the vibrating tuning fork in the middle of the client’s head, at the midline of the forehead, or above the upper lip over the teeth. Normally, the sound is heard in equally in both ears by bone conduction. If the client has a sensorineural hearing loss in one ear, the sound is heard in the other ear. If the client has a conductive hearing loss in one ear, the sound is heard in that ear.
Question 17
The part of the ear that contains the receptors for hearing is the:
A
Middle ear
B
Utricle
C
Tympanic cavity
D
Cochlea
Question 17 Explanation:
The dendrites of the cochlear nerve terminate on the hair cells of the organ of Corti in the cochlea.
Question 18
A client who is complaining of tinnitus is describing a symptom that is:
A
Subjective
B
Functional
C
Objective
D
Prodromal
Question 18 Explanation:
A subjective symptom such as ringing in the ears can be felt only by the client.
Question 19
The nurse is caring for a client that is hearing impaired. Which of the following approaches will facilitate communication?
A
Speak loudly
B
Speak in a normal tone
C
Speak frequently
D
Speak directly into the impaired ear
Question 19 Explanation:
Speaking in a normal tone to the client with impaired hearing and not shouting are important. The nurse should talk directly to the client while facing the client and speak clearly. If the client does not seem to understand what is said, the nurse should express it differently. Moving closer to the client and toward the better ear may facilitate communication, but the nurse should avoid talking directly into the impaired ear.
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MSN NCLEX Exam for Care of the Clients with Ear Disorder (EM)
Choose the letter of the correct answer. You have 19 minutes to finish this exam. Good luck!
Start
Congratulations - you have completed MSN NCLEX Exam for Care of the Clients with Ear Disorder (EM).
You scored %%SCORE%% out of %%TOTAL%%.
Your performance has been rated as %%RATING%%
Your answers are highlighted below.
Question 1
The nurse is reviewing the physician’s orders for a client with Meniere’s disease. Which diet will most likely be prescribed?
A
Low-carbohydrate diet
B
Low-cholesterol diet
C
Low-fat diet
D
Low-sodium diet
Question 1 Explanation:
Dietary changes such as salt and fluid restrictions that reduce the amount of endolymphatic fluid sometimes are prescribed.
Question 2
Nerve deafness would most likely result from an injury or infection that damaged the:
A
Vestibular nerve
B
Cochlear nerve
C
Trigeminal nerve
D
Vagus nerve
Question 2 Explanation:
Because the organ of hearing is the organ of Corti, located in the cochlea, nerve deafness would most likely accompany damage to the cochlear nerve.
Question 3
The ear bones that transmit vibrations to the oval window of the cochlea are found in the:
A
Eustachian tube
B
Middle ear
C
Outer ear
D
Inner ear
Question 3 Explanation:
The bones in the middle ear transmit and amplify air pressure waves from the tympanic membrane to the oval window of the cochlea, which is the inner ear. The tympanic membrane separates the other from the middle ear.
Question 4
The nurse is performing a voice test to assess hearing. Which of the following describes the accurate procedure for performing this test?
A
Whisper a statement and ask the client to repeat it.
B
Whisper a statement while the client blocks both ears.
C
Stand 4 feet away from the client to ensure that the client can hear at this distance.
D
Whisper a statement with the examiners back facing the client
Question 4 Explanation:
The examiner stands 1-2 feet away from the client and asks the client to block one external ear canal. The nurse whispers a statement and asks the client to repeat it. Each ear is tested separately.
Question 5
The part of the ear that contains the receptors for hearing is the:
A
Tympanic cavity
B
Cochlea
C
Middle ear
D
Utricle
Question 5 Explanation:
The dendrites of the cochlear nerve terminate on the hair cells of the organ of Corti in the cochlea.
Question 6
A client arrives at the emergency room with a foreign body in the left ear that has been determined to be an insect. Which intervention would the nurse anticipate to be prescribed initially?
A
Instillation of diluted alcohol
B
Instillation of corticosteroids ear drops
C
Irrigation of the ear
D
Instillation of antibiotic ear drops
Question 6 Explanation:
Insects are killed before removal unless they can be coaxed out by a flashlight or a humming noise. Mineral oil or diluted alcohol is instilled into the ear to suffocate the insect, which then is removed by using forceps. When the foreign object is vegetable matter, irrigation is not used because this material expands with hydration and the impaction becomes worse.
Question 7
When teaching the client about Meniere’s disease, which of the following instructions would a nurse give about vertigo?
A
Drive in daylight hours only
B
Change your position using the logroll method
C
Get up slowly, turning the entire body
D
Report dizziness at once
Question 7 Explanation:
Turning the entire body, not the head, will prevent vertigo. Dizziness is expected but can be prevented. The client shouldn’t drive as he may reflexively turn the wheel to correct vertigo. Turning the client in bed slowly and smoothly will be helpful; logrolling isn’t needed.
Question 8
A client is diagnosed with a disorder involving the inner ear. Which of the following is the most common client complaint associated with a disorder in this part of the ear?
A
Hearing loss
B
Tinnitus
C
Burning of the ear
D
Pruritus
Question 8 Explanation:
Tinnitus is the most common complaint of clients with otological disorders, especially disorders involving the inner ear. Symptoms of tinnitus range from mild ringing in the ear, which can go unnoticed during the day, to a loud roaring in the ear, which can interfere with the client’s thinking process and attention span.
Question 9
A client who is complaining of tinnitus is describing a symptom that is:
A
Functional
B
Subjective
C
Objective
D
Prodromal
Question 9 Explanation:
A subjective symptom such as ringing in the ears can be felt only by the client.
Question 10
A client with Meniere’s disease is experiencing severe vertigo. Which instruction would the nurse give to the client to assist in controlling the vertigo?
A
Avoid sudden head movements
B
Lie still and watch the television
C
Increase fluid intake to 3000 ml a day
D
Increase sodium in the diet
Question 10 Explanation:
The nurse instructs the client to make slow head movements to prevent worsening of the vertigo. Dietary changes such as salt and fluid restrictions that reduce the amount of endolymphatic fluid sometimes are prescribed. Lying still and watching television will not control vertigo.
Question 11
Physiologically, the middle ear, containing the three ossicles, serves primarily to:
A
Amplify the energy of sound waves entering the ear
B
Communicate with the throat via the Eustachian tube.
C
Translate sound waves into nerve impulses
D
Maintain balance
Question 11 Explanation:
The middle ear contains the three ossicles—malleus, incus, and stapes—which, along with the tympanic membrane and oval window, form an amplifying system.
Question 12
The nurse has notes that the physician has a diagnosis of presbycusis on the client’s chart. The nurse plans care knowing the condition is:
A
Nystagmus that occurs with aging
B
A conductive hearing loss that occurs with aging.
C
A sensorineural hearing loss that occurs with aging
D
Tinnitus that occurs with aging
Question 12 Explanation:
Presbycusis is a type of hearing loss that occurs with aging. Presbycusis is a gradual sensorineural loss caused by nerve degeneration in the inner ear or auditory nerve.
Question 13
The nurse is caring for a client that is hearing impaired. Which of the following approaches will facilitate communication?
A
Speak in a normal tone
B
Speak frequently
C
Speak loudly
D
Speak directly into the impaired ear
Question 13 Explanation:
Speaking in a normal tone to the client with impaired hearing and not shouting are important. The nurse should talk directly to the client while facing the client and speak clearly. If the client does not seem to understand what is said, the nurse should express it differently. Moving closer to the client and toward the better ear may facilitate communication, but the nurse should avoid talking directly into the impaired ear.
Question 14
A nurse would question an order to irrigate the ear canal in which of the following circumstances?
A
Ear pain
B
Hearing loss
C
Perforated tympanic membrane
D
Otitis externa
Question 14 Explanation:
Irrigation of the ear canal is contraindicated with perforation of the tympanic membrane because the solution entering the inner ear may cause dizziness, nausea, vomiting, and infection.
Question 15
Which of the following interventions is essential when instilling Cortisporin suspension, 2 gtt right ear?
A
Verifying the proper client and route
B
Warming the solution to prevent dizziness
C
Positioning the client in the semi-fowlers position
D
Holding an emesis basin under the client’s ear
Question 15 Explanation:
When giving medications, a nurse follows the five R’s of medication administration. The drops may be warmed to prevent pain or dizziness, but this action is not essential. An emesis basin would be used for irrigation of the ear. Put the client in the lateral position to prevent the drops from draining out for 5 minutes, not semi-fowlers position.
Question 16
Otosclerosis is a common cause of conductive hearing loss. Which such a partial hearing loss:
A
Stapedectomy is the procedure of choice
B
The client is usually unable to hear bass tones
C
Air conduction is more effective than bone conduction
D
Hearing aids usually restore some hearing
Question 16 Explanation:
With a partial hearing loss that auditory ossicles have not yet become fixed; as long as vibrations occur, a hearing aid may be beneficial.
Question 17
During a hearing assessment, the nurse notes that the sound lateralizes to the clients left ear with the Weber test. The nurse analyzes this result as:
A
The presence of nystagmus
B
A sensorineural or conductive loss
C
A conductive hearing loss in the right ear
D
A normal finding
Question 17 Explanation:
In the Weber tuning fork test the nurse places the vibrating tuning fork in the middle of the client’s head, at the midline of the forehead, or above the upper lip over the teeth. Normally, the sound is heard in equally in both ears by bone conduction. If the client has a sensorineural hearing loss in one ear, the sound is heard in the other ear. If the client has a conductive hearing loss in one ear, the sound is heard in that ear.
Question 18
The nurse has conducted discharge teaching for a client who had a fenestration procedure for the treatment of otosclerosis. Which of the following, if stated by the client, would indicate that teaching was effective?
A
“I will take stool softeners as prescribed by my doctor.”
B
“I should drink liquids through a straw for the next 2-3 weeks.”
C
“It’s ok to take a shower and wash my hair.”
D
“I can resume my penis lessons starting next week.”
Question 18 Explanation:
Following ear surgery, the client needs to avoid straining while having a bowel movement. The client needs to be instructed to avoid drinking through a straw for 2-3 weeks, air travel, and coughing excessively. The client needs to avoid getting his or her hair wet, washing hair, showering for 1 week, and rapidly moving the head, bouncing, and bending over for 3 weeks.
Question 19
A labyrinthectomy can be preformed to treat Meniere’s syndrome. This procedure results in:
A
Anosmia
B
Absence of pain
C
Reduction in cerumen
D
Permanent irreversible deafness
Question 19 Explanation:
The labyrinth is the inner ear and consists of the vestibule, cochlea, semicircular canals, utricle, saccule, cochlear duct, and membraneous semicircular canals. A labrinthectomy is preformed to alleviate the symptoms of vertigo but results in deafness, because the organ of Corti and cochlear nerve are located in the inner ear.
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1. The nurse is performing a voice test to assess hearing. Which of the following describes the accurate procedure for performing this test?
Stand 4 feet away from the client to ensure that the client can hear at this distance.
Whisper a statement and ask the client to repeat it.
Whisper a statement with the examiners back facing the client
Whisper a statement while the client blocks both ears.
2. During a hearing assessment, the nurse notes that the sound lateralizes to the clients left ear with the Weber test. The nurse analyzes this result as:
A normal finding
A conductive hearing loss in the right ear
A sensorineural or conductive loss
The presence of nystagmus
3. The nurse is caring for a client that is hearing impaired. Which of the following approaches will facilitate communication?
Speak frequently
Speak loudly
Speak directly into the impaired ear
Speak in a normal tone
4. The nurse has conducted discharge teaching for a client who had a fenestration procedure for the treatment of otosclerosis. Which of the following, if stated by the client, would indicate that teaching was effective?
“I should drink liquids through a straw for the next 2-3 weeks.”
“It’s ok to take a shower and wash my hair.”
“I will take stool softeners as prescribed by my doctor.”
“I can resume my penis lessons starting next week.”
5. A client arrives at the emergency room with a foreign body in the left ear that has been determined to be an insect. Which intervention would the nurse anticipate to be prescribed initially?
Irrigation of the ear
Instillation of diluted alcohol
Instillation of antibiotic ear drops
Instillation of corticosteroids ear drops
6. The nurse has notes that the physician has a diagnosis of presbycusis on the client’s chart. The nurse plans care knowing the condition is:
A sensorineural hearing loss that occurs with aging
A conductive hearing loss that occurs with aging.
Tinnitus that occurs with aging
Nystagmus that occurs with aging
7. A client with Meniere’s disease is experiencing severe vertigo. Which instruction would the nurse give to the client to assist in controlling the vertigo?
Increase fluid intake to 3000 ml a day
Avoid sudden head movements
Lie still and watch the television
Increase sodium in the diet
8. The nurse is reviewing the physician’s orders for a client with Meniere’s disease. Which diet will most likely be prescribed?
Low-cholesterol diet
Low-sodium diet
Low-carbohydrate diet
Low-fat diet
9. A client is diagnosed with a disorder involving the inner ear. Which of the following is the most common client complaint associated with a disorder in this part of the ear?
Hearing loss
Pruritus
Tinnitus
Burning of the ear
10. A nurse would question an order to irrigate the ear canal in which of the following circumstances?
Ear pain
Hearing loss
Otitis externa
Perforated tympanic membrane
11. Which of the following interventions is essential when instilling Cortisporin suspension, 2 gtt right ear?
Verifying the proper client and route
Warming the solution to prevent dizziness
Holding an emesis basin under the client’s ear
Positioning the client in the semi-fowlers position
12. When teaching the client about Meniere’s disease, which of the following instructions would a nurse give about vertigo?
Report dizziness at once
Drive in daylight hours only
Get up slowly, turning the entire body
Change your position using the logroll method
13. The part of the ear that contains the receptors for hearing is the:
Utricle
Cochlea
Middle ear
Tympanic cavity
14. The ear bones that transmit vibrations to the oval window of the cochlea are found in the:
Inner ear
Outer ear
Middle ear
Eustachian tube
15. Nerve deafness would most likely result from an injury or infection that damaged the:
Vagus nerve
Cochlear nerve
Vestibular nerve
Trigeminal nerve
16. A labyrinthectomy can be preformed to treat Meniere’s syndrome. This procedure results in:
Anosmia
Absence of pain
Reduction in cerumen
Permanent irreversible deafness
17. Otosclerosis is a common cause of conductive hearing loss. Which such a partial hearing loss:
Stapedectomy is the procedure of choice
Hearing aids usually restore some hearing
The client is usually unable to hear bass tones
Air conduction is more effective than bone conduction
18. A client who is complaining of tinnitus is describing a symptom that is:
Objective
Subjective
Functional
Prodromal
19. Physiologically, the middle ear, containing the three ossicles, serves primarily to:
Maintain balance
Translate sound waves into nerve impulses
Amplify the energy of sound waves entering the ear
Communicate with the throat via the Eustachian tube.
Answers and Rationales
B. The examiner stands 1-2 feet away from the client and asks the client to block one external ear canal. The nurse whispers a statement and asks the client to repeat it. Each ear is tested separately.
C. In the Weber tuning fork test the nurse places the vibrating tuning fork in the middle of the client’s head, at the midline of the forehead, or above the upper lip over the teeth. Normally, the sound is heard in equally in both ears by bone conduction. If the client has a sensorineural hearing loss in one ear, the sound is heard in the other ear. If the client has a conductive hearing loss in one ear, the sound is heard in that ear.
D. Speaking in a normal tone to the client with impaired hearing and not shouting are important. The nurse should talk directly to the client while facing the client and speak clearly. If the client does not seem to understand what is said, the nurse should express it differently. Moving closer to the client and toward the better ear may facilitate communication, but the nurse should avoid talking directly into the impaired ear.
C. Following ear surgery, the client needs to avoid straining while having a bowel movement. The client needs to be instructed to avoid drinking through a straw for 2-3 weeks, air travel, and coughing excessively. The client needs to avoid getting his or her hair wet, washing hair, showering for 1 week, and rapidly moving the head, bouncing, and bending over for 3 weeks.
B. Insects are killed before removal unless they can be coaxed out by a flashlight or a humming noise. Mineral oil or diluted alcohol is instilled into the ear to suffocate the insect, which then is removed by using forceps. When the foreign object is vegetable matter, irrigation is not used because this material expands with hydration and the impaction becomes worse.
A. Presbycusis is a type of hearing loss that occurs with aging. Presbycusis is a gradual sensorineural loss caused by nerve degeneration in the inner ear or auditory nerve.
B. The nurse instructs the client to make slow head movements to prevent worsening of the vertigo. Dietary changes such as salt and fluid restrictions that reduce the amount of endolymphatic fluid sometimes are prescribed. Lying still and watching television will not control vertigo.
B. Dietary changes such as salt and fluid restrictions that reduce the amount of endolymphatic fluid sometimes are prescribed.
C. Tinnitus is the most common complaint of clients with otological disorders, especially disorders involving the inner ear. Symptoms of tinnitus range from mild ringing in the ear, which can go unnoticed during the day, to a loud roaring in the ear, which can interfere with the client’s thinking process and attention span.
D. Irrigation of the ear canal is contraindicated with perforation of the tympanic membrane because the solution entering the inner ear may cause dizziness, nausea, vomiting, and infection.
A. When giving medications, a nurse follows the five R’s of medication administration. The drops may be warmed to prevent pain or dizziness, but this action is not essential. An emesis basin would be used for irrigation of the ear. Put the client in the lateral position to prevent the drops from draining out for 5 minutes, not semi-fowlers position.
C. Turning the entire body, not the head, will prevent vertigo. Dizziness is expected but can be prevented. The client shouldn’t drive as he may reflexively turn the wheel to correct vertigo. Turning the client in bed slowly and smoothly will be helpful; logrolling isn’t needed.
B. The dendrites of the cochlear nerve terminate on the hair cells of the organ of Corti in the cochlea.
C. The bones in the middle ear transmit and amplify air pressure waves from the tympanic membrane to the oval window of the cochlea, which is the inner ear. The tympanic membrane separates the other from the middle ear.
B. Because the organ of hearing is the organ of Corti, located in the cochlea, nerve deafness would most likely accompany damage to the cochlear nerve.
D. The labyrinth is the inner ear and consists of the vestibule, cochlea, semicircular canals, utricle, saccule, cochlear duct, and membraneous semicircular canals. A labrinthectomy is preformed to alleviate the symptoms of vertigo but results in deafness, because the organ of Corti and cochlear nerve are located in the inner ear.
B. With a partial hearing loss that auditory ossicles have not yet become fixed; as long as vibrations occur, a hearing aid may be beneficial.
B. A subjective symptom such as ringing in the ears can be felt only by the client.
C. The middle ear contains the three ossicles—malleus, incus, and stapes—which, along with the tympanic membrane and oval window, form an amplifying system.