Nokea
A patient is being discharged home after mastoid surgery. What topic should the nurse include in discharge teaching?
- A. Expected changes in facial nerve function
- B. The need for audiometry testing every 6 months following recovery
- C. Safe use of analgesics and antivertiginous agents
- D. Appropriate use of OTC ear drops
Correct Answer: C
Rationale: Teaching about analgesics and antivertiginous agents supports safe management of pain and vertigo post-mastoidectomy. Facial nerve changes are complications, audiometry is not routine, and OTC ear drops are not recommended.
You may also like to solve these questions
A patient has undergone diagnostic testing and has been diagnosed with otosclerosis? What ear structure is primarily affected by this diagnosis?
- A. Malleus
- B. Stapes
- C. Incus
- D. Tympanic membrane
Correct Answer: B
Rationale: Otosclerosis causes abnormal bone growth around the stapes, fixing it and impairing sound conduction. Other ear structures are not primarily affected.
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.
A patient diagnosed with arthritis has been taking aspirin and now reports experiencing tinnitus and hearing loss. What should the nurse teach this patient?
- A. The hearing loss will likely resolve with time after the drug is discontinued.
- B. The patients hearing loss and tinnitus are irreversible at this point.
- C. The patients tinnitus is likely multifactorial, and not directly related to aspirin use.
- D. The patients tinnitus will abate as tolerance to aspirin develops.
Correct Answer: A
Rationale: Aspirin-induced ototoxicity, causing tinnitus and hearing loss, is typically reversible upon discontinuation. It is directly related to aspirin, not multifactorial, and tolerance does not resolve it.
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?
- A. Yellowish-white
- B. Pink
- C. Gray
- D. Bluish-white
Correct Answer: C
Rationale: A healthy tympanic membrane is pearly gray. Yellowish-white, pink, or bluish-white colors suggest inflammation or other pathology.
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?
- A. Exostoses
- B. Otalgia
- C. Sensorineural hearing loss
- D. Presbycusis
Correct Answer: C
Rationale: Sensorineural hearing loss results from damage to the cochlea or cranial nerve VIII. Exostoses are bony growths, otalgia is ear pain, and presbycusis is age-related hearing loss.