Nokea
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.
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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?
- A. Tophi on the pinna and ear lobe
- B. Dark yellow cerumen in the external auditory canal
- C. Pain on manipulation of the auricle
- D. Air bubbles visible in the middle ear
Correct Answer: C
Rationale: Pain when manipulating the auricle is a hallmark of otitis externa due to inflammation of the external ear canal. Tophi are related to gout, cerumen is a normal finding, and air bubbles suggest middle ear issues, not otitis externa.
A child has been experiencing recurrent episodes of acute otitis media (AOM). The nurse should anticipate that what intervention is likely to be ordered?
- A. Ossiculoplasty
- B. Insertion of a cochlear implant
- C. Stapedectomy
- D. Insertion of a ventilation tube
Correct Answer: D
Rationale: Ventilation tubes are commonly used for recurrent AOM to equalize pressure and drain fluid, preventing further infections. Ossiculoplasty, cochlear implants, and stapedectomy address other conditions.
A patient with otosclerosis has significant hearing loss. What should the nurse do to best facilitate communication with the patient?
- A. Sit or stand in front of the patient when speaking.
- B. Use exaggerated lip and mouth movements when talking.
- C. Stand in front of a light or window when speaking.
- D. Say the patients name loudly before starting to talk.
Correct Answer: A
Rationale: Standing in front allows the patient to see facial expressions and potentially lip-read, aiding communication. Exaggerated movements distort speech, backlighting causes glare, and shouting may not help.
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.
The nurse is providing discharge education for a patient with a new diagnosis of Mnires disease. What food should the patient be instructed to limit or avoid?
- A. Sweet pickles
- B. Frozen yogurt
- C. Shellfish
- D. Red meat
Correct Answer: A
Rationale: Mnires disease is exacerbated by high salt and sugar intake, which sweet pickles contain. Dairy, shellfish, and red meat are not contraindicated unless processed or canned.