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Rene Rene
wrote...
Posts: 592
Rep: 1 0
6 years ago
The charge nurse must intervene immediately if observing a nurse who is caring for a patient with vestibular disease
 
  a. speaking slowly to the patient.
  b. facing the patient directly when speaking.
  c. encouraging the patient to ambulate independently.
  d. administering Rinne and Weber tests to the patient.

Question 2

When the nurse is taking a health history of a new patient at the ear clinic, the patient states, I have to sleep with the television on. Which follow-up question is most appropriate to obtain more information about possible hearing problems?
 
  a. Do you grind your teeth at night?
  b. What time do you usually fall asleep?
  c. Have you noticed ringing in your ears?
  d. Are you ever dizzy when you are lying down?

Question 3

The nurse recording health histories in the outpatient clinic would plan a focused hearing assessment for adult patients taking which medication?
 
  a. Atenolol (Tenormin) taken to prevent angina
  b. Acetaminophen (Tylenol) taken frequently for headaches
  c. Ibuprofen (Advil) taken for 20 years to treat osteoarthritis
  d. Albuterol (Proventil) taken since childhood to treat asthma

Question 4

A patient complains of dizziness when bending over and of nausea and dizziness associated with physical activities. The nurse will plan to teach the patient about
 
  a. tympanometry.
  b. rotary chair testing.
  c. pure-tone audiometry.
  d. bone-conduction testing.
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Replies
wrote...
6 years ago
The answer to question 1

ANS: C
Vestibular disease affects balance, so the nurse should monitor the patient during activities that require balance. The other actions might be used for patients with hearing disorders.

The answer to question 2

ANS: C
Patients with tinnitus may use masking techniques, such as playing a radio, to block out the ringing in the ears. The responses Do you grind your teeth at night? and Are you ever dizzy when you are lying down? would be used to obtain information about other ear problems, such as vestibular disorders and referred temporomandibular joint (TMJ) pain. The response What time do you usually fall asleep? would not be helpful in assessing problems with the patient's ears.

The answer to question 3

ANS: C
Nonsteroidal antiinflammatory drugs (NSAIDs) are potentially ototoxic. Acetaminophen, atenolol, and albuterol are not associated with hearing loss.

The answer to question 4

ANS: B
The patient's clinical manifestations of dizziness and nausea suggest a disorder of the labyrinth, which controls balance and contains three semicircular canals and the vestibule. Rotary chair testing is used to test vestibular function. The other tests are used to test for problems with hearing.
Rene Author
wrote...
6 years ago
Good timing, thanks!
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