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WorksheetsEARS
Total questions: 79
Worksheet time: 1hrs 19mins
The nurse knows which statements are consistent with acute otitis media? Select all that apply.
The infection usually lasts less than 6 weeks.
A purulent exudate is usually present in the middle ear.
Conductive hearing loss may occur.
It is a relatively uncommon childhood infection.
Permanent hearing loss is a likely outcome.
Which manifestation is most problematic for the client diagnosed with Ménière disease?
Tinnitus
Diaphoresis
Vertigo
Hearing loss
The client is having a Weber test. During a Weber test, where should the tuning fork be placed?
On the mastoid process behind the ear
In the midline of the client's skull or in the center of the forehead
Near the external meatus of each ear
Under the bridge of the nose
You are doing discharge teaching with a client after a stapedectomy. Why would it be important for you to advise the client to refrain from blowing the nose?
It may cause sudden headaches.
It may cause vertigo.
It may dislodge the prosthesis.
It may cause excessive drainage.
Which symptoms may a client with Ménière disease report before an attack?
Nystagmus
Low blood pressure
Photosensitivity
A full feeling in the ear
Which condition is characterized by the formation of abnormal spongy bone around the stapes?
Otosclerosis
Middle ear effusion
Chronic otitis media
Otitis externa
Which phrase defines ossiculoplasty?
Surgical reconstruction of the middle ear bones
Surgical repair of the eardrums
Incision into the tympanic membrane
Incision into the eardrum
The nurse is developing a plan of care for a patient with severe vertigo. What expected outcome statement would be a priority for this patient
Patient will experience no falls due to balance disorder.
Patient will take medications as prescribed.
Patient will perform exercises as prescribed.
Patient will have decreased fear and anxiety.
A client has a history of hearing loss and is returning for an annual hearing examination. During client education, the nurse explains that hearing involves which areas of the ear? Select all that apply.
all sections
outer section
middle section
inner section
The parent of a young client with severe hearing loss is quite concerned about the child's future independence because of impaired hearing. Which type of hearing loss is usually irreversible?
sensorineural
conductive
tinnitus
noise exposure
The nurse is doing discharge teaching with a client newly diagnosed with Ménière's disease. Why would the nurse advise a low-sodium diet to this client?
To minimize the adverse effects of drug therapy
To reduce the magnitude of the hearing deficit
To minimize the risk of a tumor that involves the vestibulocochlear nerve
To reduce the production of fluid in the inner ear
The nurse is performing an assessment of a patient's ears. When looking at the tympanic membrane, the nurse observes a healthy membrane. What should the appearance be?
Pearly gray and translucent
White and cloudy
Pink with white exudate
Dark yellow with cerumen
Which term refers to an altered sensation of orientation in space?
Ataxia
Tinnitus
Dizziness
Nystagmus
The nurse is assisting the client in planning care during exacerbations of Ménière's disease. Which diet would the nurse identify as appropriate at this time?
A high-protein diet
A low-sodium diet
A low-fat diet
A calorie-controlled diet
The nurse is instructing a client's family members on the most incapacitating symptom of Ménière's disease. Which nursing instruction associated with the symptom is most helpful?
Assist the client when ambulating.
Keep a bucket beside the bed.
Ensure low lighting in the room.
Sit in front of the client when speaking.
The nurse is teaching a class on diseases of the ear. What would the nurse teach the class is the most characteristic symptom of otosclerosis?
The client being distressed in the mornings
A progressive, bilateral loss of hearing
A red and swollen ear drum
The client describing a recent upper respiratory infection
During a pharmacology class, the students are told that some drugs need to be closely monitored. What aspect should the nurse closely monitor for in clients who have been administered salicylates, loop diuretics, quinidine, quinine, or aminoglycosides?
Signs of hypotension
Reduced urinary output
Tinnitus and sensorineural hearing loss
Impaired facial movement
The nursing student hopefuls are taking a pre-nursing anatomy and physiology class. What will they learn is the anatomical feature that equalizes air pressure in the middle ear?
Eustachian tube
The malleus
The pinna
The meatus
The nurse identifies the nursing diagnosis of deficient knowledge related to a new hearing aid for a client. After teaching a client about caring for his new hearing aid, the nurse determines that the outcome has been achieved when the client states which of the following?
"I need to wipe the ear mold daily with a moist washcloth."
"I need to keep my ear canal clean and dry."
"I should wash the receiver with soap and water once a week."
"I should insert the ear mold when it is wet."
Which symptom is related to vertigo?
Loss of consciousness
Spinning sensation
Fainting
Syncope
An advanced practice nurse has performed a Rinne test on a new patient. During the test, the patient reports that air-conducted sound is louder than bone-conducted sound. How should the nurse best interpret this assessment finding?
The patient's hearing is likely normal.
The patient is at risk for tinnitus.
The patient likely has otosclerosis.
The patient likely has sensorineural hearing loss.
The nurse is discharging a patient home after mastoid surgery. What should the nurse include in discharge teaching?
"Try to induce a sneeze every 4 hours to equalize pressure."
"Be sure to exercise to reduce fatigue."
"Avoid sleeping in a side-lying position."
"Don't blow your nose for 2 to 3 weeks."
The nurse is admitting a patient to the unit who is scheduled to have an ossiculoplasty. What postoperative assessment will best determine whether the procedure has been successful?
Otoscopy
Audiometry
Balance testing
Culture and sensitivity testing of ear discharge
A child has been experiencing recurrent episodes of acute otitis media (AOM). The nurse should anticipate that what intervention is likely to be ordered?
Ossiculoplasty
Insertion of a cochlear implant
Stapedectomy
Insertion of a ventilation tube
A 6-month-old infant is brought to the ED by his parents for inconsolable crying and pulling at his right ear. When assessing this infant, the advanced practice nurse is aware that the tympanic membrane should be what color in a healthy ear?
Yellowish-white
Pink
Gray
Bluish-white
A hearing-impaired patient is scheduled to have an MRI. What would be important for the nurse to remember when caring for this patient?
Patient is likely unable to hear the nurse during test.
A person adept in sign language must be present during test.
Lip reading will be the method of communication that is necessary.
The nurse should interact with the patient like any other patient.
After mastoid surgery, an 81-year-old patient has been identified as needing assistance in her home. What would be a primary focus of this patient's home care?
Preparation of nutritious meals and avoidance of contraindicated foods
Ensuring the patient receives adequate rest each day
Helping the patient adapt to temporary hearing loss
Assisting the patient with ambulation as needed to avoid falling
A patient is being discharged home after mastoid surgery. What topic should the nurse address in the patient's discharge education?
Expected changes in facial nerve function
The need for audiometry testing every 6 months
Safe use of analgesics and antivertiginous agents
Appropriate use of OTC ear drops
The nurse is caring for a patient who has undergone a mastoidectomy. In an effort to prevent postoperative infection, what intervention should the nurse implement?
Teach the patient about the risks of ototoxic medications.
Instruct the patient to protect the ear from water for several weeks.
Teach the patient to remove cerumen safely at least once per week.
Instruct the patient to protect the ear from temperature extremes until healing is complete.
A nurse is teaching preventative measures for otitis externa to a group of older adults. What action should the nurse encourage?
Rinsing the ears with normal saline after swimming
Avoiding loud environmental noises
Instilling antibiotic ointments on a regular basis
Avoiding the use of cotton swabs
A child goes to the school nurse and complains of not being able to hear the teacher. What test could the school nurse perform that would preliminarily indicate hearing loss?
Audiometry
Rinne test
Whisper test
Weber test
Which of the following nurse's actions carries the greatest potential to prevent hearing loss due to ototoxicity?
Ensure that patients understand the differences between sensory hearing loss and conductive hearing loss.
Educate patients about expected age-related changes in hearing perception.
Educate patients about the risks associated with prolonged exposure to environmental noise.
Be aware of patients' medication regimens and collaborate with other professionals accordingly.
A patient presents to the ED complaining of a sudden onset of incapacitating vertigo, with nausea and vomiting and tinnitus. The patient mentions to the nurse that she suddenly cannot hear very well. What would the nurse suspect the patient's diagnosis will be?
Ossiculitis
Ménière's disease
Ototoxicity
Labyrinthitis
The nurse is providing care for a patient who has benefited from a cochlear implant. The nurse should understand that this patient's health history likely includes which of the following? Select all that apply.
The patient was diagnosed with sensorineural hearing loss.
The patient's hearing did not improve appreciably with the use of hearing aids.
The patient has deficits in peripheral nervous function.
The patient's hearing deficit is likely accompanied by a cognitive deficit.
The patient is unable to lip-read.
A patient with a sudden onset of hearing loss tells the nurse that he would like to begin using hearing aids. The nurse understands that the health professional dispensing hearing aids would have what responsibility?
Test the patient's hearing promptly.
Perform an otoscopy.
Measure the width of the patient's ear canal
Refer the patient to his primary care physician.
The nurse is planning the care of a patient with a diagnosis of vertigo. What nursing diagnosis risk should the nurse prioritize in this patient's care?
Risk for disturbed sensory perception
Risk for unilateral neglect
Risk for falls
Risk for ineffective health maintenance
The nurse is assessing a patient with multiple sclerosis who is demonstrating involuntary, rhythmic eye movements. What term will the nurse use when documenting these eye movements?
Vertigo
Tinnitus
Nystagmus
Astigmatism
A patient is scheduled to have an electronystagmography as part of a diagnostic workup for Ménière's disease. What question is it most important for the nurse to ask the patient in preparation for this test?
Have you ever experienced claustrophobia or feelings of anxiety while in enclosed spaces?
Do you currently take any tranquilizers or stimulants on a regular basis?
Do you have a history of falls or problems with loss of balance?
Do you have a history of either high or low blood pressure?
The advanced practice nurse is attempting to examine the patient's ear with an otoscope. Because of impacted cerumen, the tympanic membrane cannot be visualized. The nurse irrigates the patient's ear with a solution of hydrogen peroxide and water to remove the impacted cerumen. What nursing intervention is most important to minimize nausea and vertigo during the procedure?
Maintain the irrigation fluid at a warm temperature.
Instill short, sharp bursts of fluid into the ear canal.
Follow the procedure with insertion of a cerumen curette to extract missed ear wax.
Have the patient stand during the procedure.
The nurse is discussing the results of a patient's diagnostic testing with the nurse practitioner. What Weber test result would indicate the presence of a sensorineural loss?
The sound is heard better in the ear in which hearing is better.
The sound is heard equally in both ears.
The sound is heard better in the ear in which hearing is poorer.
The sound is heard longer in the ear in which hearing is better.
A patient is postoperative day 6 following tympanoplasty and mastoidectomy. The patient has phoned the surgical unit and states that she is experiencing occasional sharp, shooting pains in her affected ear. How should the nurse best interpret this patient's complaint?
These pains are an expected finding during the first few weeks of recovery.
The patient's complaints are suggestive of a postoperative infection.
The patient may have experienced a spontaneous rupture of the tympanic membrane.
The patient's surgery may have been unsuccessful.
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.
The patient's hearing loss and tinnitus are irreversible at this point.
The patient's tinnitus is likely multifactorial, and not directly related to aspirin use.
The patient's tinnitus will abate as tolerance to aspirin develops.
The nurse in the ED is caring for a 4 year-old brought in by his parents who state that the child will not stop crying and pulling at his ear. Based on information collected by the nurse, which of the following statements applies to a diagnosis of external otitis?
External otitis is characterized by aural tenderness.
External otitis is usually accompanied by a high fever.
External otitis is usually related to an upper respiratory infection.
External otitis can be prevented by using cotton-tipped applicators to clean the ear.
A patient with otosclerosis has significant hearing loss. What should the nurse do to best facilitate communication with the patient?
Sit or stand in front of the patient when speaking.
Use exaggerated lip and mouth movements when talking.
Stand in front of a light or window when speaking.
Say the patient's name loudly before starting to talk
A group of high school students is attending a concert, which will be at a volume of 80 to 90 dB. What is a health consequence of this sound level?
Hearing will not be affected by a decibel level in this range.
Sounds in this decibel level are not perceived to be harsh to the ear.
Ear plugs will have no effect on these decibel levels.
Hearing loss may occur with a decibel level in this range.
A patient has been diagnosed with hearing loss related to damage of the end organ for hearing or cranial nerve VIII. What term is used to describe this condition?
Exostoses
Otalgia
Sensorineural hearing loss
Presbycusis
Following a motorcycle accident, a 17-year-old man is brought to the ED. What physical assessment findings related to the ear should be reported by the nurse immediately?
The malleus can be visualized during otoscopic examination.
The tympanic membrane is pearly gray.
Tenderness is reported by the patient when the mastoid area is palpated.
Clear, watery fluid is draining from the patient's ear.
The nurse is providing discharge education for a patient with a new diagnosis of Ménière's disease. What food should the patient be instructed to limit or avoid?
Sweet pickles
Frozen yogurt
Shellfish
Red meat
A nurse is planning preoperative teaching for a patient with hearing loss due to otosclerosis. The patient is scheduled for a stapedectomy with insertion of a prosthesis. What information is most crucial to include in the patient's preoperative teaching?
The procedure is an effective, time-tested treatment for sensory hearing loss.
The patient is likely to experience resolution of conductive hearing loss after the procedure.
Several months of post-procedure rehabilitation will be needed to maximize benefits.
The procedure is experimental, but early indications suggest great therapeutic benefits.
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 otitis externa?
Tophi on the pinna and ear lobe
Dark yellow cerumen in the external auditory canal
Pain on manipulation of the auricle
Air bubbles visible in the middle ear
The nurse is assessing a client's hearing using the Rinne test. When providing instruction to elicit client feedback, which instruction is essential?
Raise your hand when you hear the vibration.
Raise your hand when the vibration exceeds the sound.
Raise your hand when the sound exceeds the vibration.
Raise your hand when you no longer hear sound.
A mother brings her daughter to the clinic for an evaluation because the child is complaining of ear pain. Which of the following would lead the nurse to suspect that the child is experiencing otitis externa and not otitis media?
Aural tenderness
Fever
Bulging eardrum
Ear drainage
Which portion of the middle ear equalizes pressure?
Auricle
Eustachian tube
Ossicles
Cochlea
Which of the following statements describes benign paroxysmal positional vertigo (BPPV)?
BPPV is caused by tympanic membrane infection.
The vertigo is usually accompanied by nausea and vomiting; however, hearing impairment does not generally occur.
BPPV is stimulated by the use of certain medication such as acetaminophen.
The onset of BPPV is gradual.
A client comes to the walk-in clinic complaining of a "bug in my ear." What action should be taken when there is an insect in the ear?
Instillation of mineral oil
Use of a small forceps
Instillation of hot water
Instillation of carbamide peroxide
Kotoyo has been diagnosed with otosclerosis. The nurse explains to the client that this is a common cause of hearing impairment among adults and is the result of a bony overgrowth of which of the following?
Tympanic membrane
Labyrinth
Incus
Stapes
Which of the following describes a condition characterized by abnormal spongy bone formation around the stapes?
Chronic otitis media
Otitis externa
Middle ear effusion
Otosclerosis
Which nursing diagnosis takes highest priority for a client admitted for evaluation for Ménière's disease?
Imbalanced nutrition: Less than body requirements related to nausea and vomiting
Risk for deficient fluid volume related to vomiting
Acute pain related to vertigo
Risk for injury related to vertigo
Which of the following is an involuntary rhythmic movement of the eyes that is also associated with vestibular dysfunction?
Presbycusis
Tinnitus
Nystagmus
Vertigo
A client with a conductive hearing disorder caused by ankylosis of the stapes in the oval window undergoes a stapedectomy to remove the stapes and replace the impaired bone with a prosthesis. After the stapedectomy, the nurse should provide which client instruction?
"Shampoo your hair every day for 10 days to help prevent ear infection."
"Lie in bed with your head elevated, and refrain from blowing your nose for 24 hours."
"Don't fly in an airplane, climb to high altitudes, make sudden movements, or expose yourself to loud sounds for 30 days."
"Try to ambulate independently after about 24 hours."
Which of the following preattack symptoms may a patient with Meniere's disease report prior to an attack?
Nystagmus
Photosensitivity
A full feeling in the ear
Low blood pressure
A patient is newly diagnosed with otitis externa. Which of the following should the nurse teach the patient before the patient leaves the clinic?
Cleaning ear canal with cotton-tip applicator after showering
Proper instillation of prescribed ear drops
Side effects of oral antibiotics
Strategies to cope with the temporary sensorineural hearing loss
A client who comes to the ambulatory care facility states, "It feels like things are moving or spinning around me." The nurse interprets this as indicating which of the following?
Vertigo
Dizziness
Motion sickness
Nystagmus
A client complains of vertigo. The nurse anticipates that the client may have a problem with which portion of the ear?
Middle ear
External ear
Tympanic membrane
Inner ear
Which of the following is hearing loss associated with degenerative changes?
Strabismus
Myopia
Presbycusis
Presbyopia
Which of the following instructions regarding swimming should the nurse give to the client who is recovering from otitis externa? Choose the correct option.
Wear a scarf.
Avoid cold water.
Wear soft plastic earplugs.
Insert a loose cotton earplug in the external ear.
The nurse is caring for a patient with Ménière's disease who is hospitalized with severe vertigo. What medication does the nurse anticipate administering to shorten the attack?
Furosemide (Lasix)
Cortisporin otic solution
Meclizine (Antivert)
Gentamicin (Garamycin) intravenously
Which of the following instructions regarding swimming should the nurse give to the patient who is recovering from otitis externa?
Avoid swimming for 7-10 days
Avoid cold water
Wear a scarf
Insert a loose cotton pledget in the external ear
The nurse is developing a plan of care for a client with Meniere's disease and identifies a nursing diagnosis of excess fluid volume related to fluid retention in the inner ear. Which intervention would be most appropriate to include in the plan of care?
Restrict high-potassium foods.
Administer prescribed antihistamine.
Encourage intake of caffeinated fluids.
Limit foods that are high in sodium.
You are teaching a class on diseases of the ear. What would you teach the class is the most characteristic symptom of otosclerosis?
The client describing a recent upper respiratory infection
A progressive, bilateral loss of hearing
A red and swollen ear drum
The client being distressed in the mornings
When performing the Weber test, the would the nurse place the vibrating tuning fork on the patient's
(a)
Which of the following manifestations is the most problematic for the patient diagnosed with Meniere's disease?
Hearing loss
Diaphoresis
Vertigo
Tinnitus
Which action by the nurse has the highest priority when caring for a patient diagnosed with vertigo?
Educate the patient on using the call light for assistance with ambulation.
Administer antivertiginous medication as ordered.
Encourage the patient to stare straight ahead, focusing on one object.
Encourage the patient to keep his or her eyes open.
You are teaching the daughter how to instill ear drops of her father to remove impacted cerumen. What is a priority action to teach this woman?
Insert the irrigating syringe deeply.
Refrigerate before instillation.
Place the container in warm water before instillation.
Direct the flow of the ear drops toward the eardrum.
The nurse, caring for a client with Ménière's disease, needs to assist with what when the client is experiencing an attack?
Sleeping
ADLs
Coughing
URIs
The nurse is caring for a client experiencing hearing loss. The nurse uses the otoscope to assess the ear canal and tympanic membrane and notes a significant accumulation of cerumen. Which documentation of hearing loss type would be most accurate?
Conductive
Sensorineural
Central
Mixed
Which of the following is a definition of ossiculoplasty?
Incision into the tympanic membrane
Surgical repair of the eardrums
Incision into the eardrum
Surgical reconstruction of the middle ear bones
A patient newly diagnosed with otitis media reports the pain and pressure in the ear has suddenly disappeared. What is the best action by the nurse?
Irrigate the ear.
Assess tympanic membrane.
Educate on therapeutic effects of medications
Document effectiveness of medications.
Which of the following terms refers to surgical repair of the tympanic membrane?
Tympanotomy
Ossiculoplasty
Myringotomy
Tympanoplasty
