Nokea
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.
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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?
- A. Teach the patient about the risks of ototoxic medications.
- B. Instruct the patient to protect the ear from water for several weeks.
- C. Teach the patient to remove cerumen safely at least once per week.
- D. Instruct the patient to protect the ear from temperature extremes until healing is complete.
Correct Answer: B
Rationale: Keeping the ear dry for 6 weeks post-mastoidectomy prevents infection by avoiding water entry into the surgical site. Ototoxic drugs, cerumen removal, or temperature extremes are not infection-related risks.
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?
- A. The malleus can be visualized during otoscopic examination.
- B. The tympanic membrane is pearly gray.
- C. Tenderness is reported by the patient when the mastoid area is palpated.
- D. Clear, watery fluid is draining from the patients ear.
Correct Answer: D
Rationale: Clear, watery ear drainage post-trauma suggests cerebrospinal fluid leak from a skull fracture, requiring immediate reporting. Visualizing the malleus or a pearly gray tympanic membrane is normal, and mastoid tenderness, while notable, is less urgent.
A patient with mastoiditis is admitted to the post-surgical unit after undergoing a radical mastoidectomy. The nurse should identify what priority of postoperative care?
- A. Assessing for mouth droop and decreased lateral eye gaze
- B. Assessing for increased middle ear pressure and perforated ear drum
- C. Assessing for gradual onset of conductive hearing loss and nystagmus
- D. Assessing for scar tissue and cerumen obstructing the auditory canal
Correct Answer: A
Rationale: Facial nerve injury during mastoidectomy can cause mouth droop and decreased lateral gaze, making this a priority assessment. Middle ear pressure, hearing loss, or scar tissue are not immediate postoperative concerns.
While reviewing the health history of an older adult experiencing hearing loss the nurse notes the patient has had no trauma or loss of balance. What aspect of this patients health history is most likely to be linked to the patients hearing deficit?
- A. Recent completion of radiation therapy for treatment of thyroid cancer
- B. Routine use of quinine for management of leg cramps
- C. Allergy to hair coloring and hair spray
- D. Previous perforation of the eardrum
Correct Answer: B
Rationale: Quinine is ototoxic and its long-term use is associated with hearing loss. Radiation therapy, hair product allergies, and a single healed eardrum perforation are less likely to cause hearing deficits.
Which of the following nurses actions carries the greatest potential to prevent hearing loss due to ototoxicity?
- A. Ensure that patients understand the differences between sensory hearing loss and conductive hearing loss.
- B. Educate patients about expected age-related changes in hearing perception.
- C. Educate patients about the risks associated with prolonged exposure to environmental noise.
- D. Be aware of patients medication regimens and collaborate with other professionals accordingly.
Correct Answer: D
Rationale: Monitoring and collaborating on medication regimens prevent ototoxicity from drugs like aspirin, which can cause hearing loss. Education on hearing types or noise is less relevant.