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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?
- A. Hearing will not be affected by a decibel level in this range.
- B. Hearing loss may occur with a decibel level in this range.
- C. Sounds in this decibel level are not perceived to be harsh to the ear.
- D. Ear plugs will have no effect on these decibel levels.
Correct Answer: B
Rationale: Sound levels above 80 dB can damage the inner ear, potentially causing hearing loss. These levels are perceived as harsh, and ear plugs can mitigate the risk.
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The nurse is discharging a patient home after mastoid surgery. What should the nurse include in discharge teaching?
- A. Try to induce a sneeze every 4 hours to equalize pressure.
- B. Be sure to exercise to reduce fatigue.
- C. Avoid sleeping in a side-lying position.
- D. Dont blow your nose for 2 to 3 weeks.
Correct Answer: D
Rationale: Avoiding nose blowing for 2-3 weeks prevents pressure changes that could dislodge grafts or prostheses. Sneezing, exercise, or side-lying are not contraindicated.
A hearing-impaired patient is scheduled to have an MRI. What would be important for the nurse to remember when caring for this patient?
- A. Patient is likely unable to hear the nurse during test.
- B. A person adept in sign language must be present during test.
- C. Lip reading will be the method of communication that is necessary.
- D. The nurse should interact with the patient like any other patient.
Correct Answer: A
Rationale: During an MRI, a hearing-impaired patient cannot hear verbal communication due to the dark, noisy environment, requiring alternative communication methods. Sign language or lip reading may not be feasible.
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 patients complaint?
- A. These pains are an expected finding during the first few weeks of recovery.
- B. The patients complaints are suggestive of a postoperative infection.
- C. The patient may have experienced a spontaneous rupture of the tympanic membrane.
- D. The patients surgery may have been unsuccessful.
Correct Answer: A
Rationale: Sharp, shooting pains are normal post-tympanoplasty/mastoidectomy as the eustachian tube adjusts, typically resolving in 2-3 weeks. Infection would involve constant pain and fever, and there's no evidence of rupture or surgical failure.
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?
- A. The patients hearing is likely normal.
- B. The patient is at risk for tinnitus.
- C. The patient likely has otosclerosis.
- D. The patient likely has sensorineural hearing loss.
Correct Answer: A
Rationale: A Rinne test showing louder air-conducted sound indicates normal hearing or sensorineural loss, but in context, normal hearing is most likely. Tinnitus and otosclerosis are not directly assessed by this test.
An older adult with a recent history of mixed hearing loss has been diagnosed with a cholesteatoma. What should this patient be taught about this diagnosis? Select all that apply
- A. Cholesteatomas are benign and self-limiting, and hearing loss will resolve spontaneously.
- B. Cholesteatomas are usually the result of metastasis from a distant tumor site.
- C. Cholesteatomas are often the result of chronic otitis media.
- D. Cholesteatomas, if left untreated, result in intractable neuropathic pain.
- E. Cholesteatomas usually must be removed surgically.
Correct Answer: C,E
Rationale: Cholesteatomas, often caused by chronic otitis media, require surgical removal to prevent complications like bone erosion. They are not self-limiting, metastatic, or typically painful.