Nokea
A client is scheduled for a stapedectomy in 2 weeks. What teaching instructions are most appropriate? (Select all that apply.)
- A. Avoid alcohol use before surgery.
- B. Blow the nose gently if needed.
- C. Use ear drops daily to prevent infection.
- D. Stop taking aspirin 1 week before surgery.
- E. Keep the ear dry after surgery.
Correct Answer: B,D,E
Rationale: Clients undergoing a stapedectomy should blow the nose gently if needed, stop taking aspirin 1 week before surgery to reduce bleeding risk, and keep the ear dry after surgery to prevent infection. Avoiding alcohol is not specific to this surgery, and prophylactic ear drops are not typically required.
You may also like to solve these questions
During ear irrigation, what action should the nurse take if the client becomes nauseated?
- A. Continue the procedure slowly.
- B. Stop the procedure immediately.
- C. Administer an antiemetic medication.
- D. Encourage the client to breathe deeply.
Correct Answer: B
Rationale: During ear irrigation, if the client becomes nauseated, the nurse should stop the procedure immediately to prevent further discomfort or complications. The other options are not appropriate in this context.
A client has Ménière's disease with frequent attacks. About what drugs does the nurse plan to teach the client? (Select all that apply.)
- A. Broad-spectrum antibiotics
- B. Chlorpromazine hydrochloride (Thorazine)
- C. Diphenhydramine (Benadryl)
- D. Meclizine (Antivert)
- E. Nonsteroidal anti-inflammatory drug (NSAID)
Correct Answer: B,C,D
Rationale: Drugs such as chlorpromazine, diphenhydramine, and meclizine can all be used to treat Ménière's disease. Antibiotics and NSAIDs are not used.
A client with Ménière's disease is in the hospital when the client has an attack of this disorder. What action by the nurse takes priority?
- A. Assess vital signs every 15 minutes.
- B. Dim or turn off lights in the client's room.
- C. Place the client in bed with the upper siderails up.
- D. Provide a cool, wet cloth for the client's face.
Correct Answer: C
Rationale: Clients with Ménière's disease can have vertigo so severe that they can fall. The nurse should assist the client into bed and raise the upper siderails to prevent falls due to the intense whirling feeling. The other actions are not warranted for clients with Ménière's disease.
A client hospitalized for a wound infection has a blood urea nitrogen of 45 mg/dL and creatinine of 4.2 mg/dL. What action by the nurse is most appropriate?
- A. Assess for signs of dehydration.
- B. Review the client's medication list.
- C. Monitor for signs of hearing loss.
- D. Consult with the healthcare provider.
Correct Answer: D
Rationale: Elevated blood urea nitrogen (BUN) and creatinine levels suggest renal impairment, which can affect drug metabolism and increase the risk of ototoxicity from certain medications. Consulting with the healthcare provider is the most appropriate action to ensure safe care. The other options may be relevant but are not the priority.
A nursing student studying the auditory system learns about the structures of the inner ear. What structures does this include? (Select all that apply.)
- A. Cochlea
- B. Epitympanum
- C. Organ of Corti
- D. Semicircular canals
- E. Vestibule
Correct Answer: A,C,D,E
Rationale: The cochlea, organ of Corti, semicircular canals, and vestibule are all part of the inner ear. The epitympanum is in the middle ear.