Nokea
The nurse counsels the 16-year-old boy that playing his music at high volume can result in impairment in hearing related to which issue?
- A. damaged tympanic membrane.
- B. protective buildup of cerumen.
- C. damage of the fine hair cells in the organ of Corti.
- D. rupture of the oval window.
Correct Answer: C
Rationale: Long-term exposure to loud noises can damage the fine hair cells in the organ of Corti, which causes a conductive hearing loss.
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Progressive deafness caused by the ankylosis of the stapes is the condition of ___
Correct Answer: otosclerosis
Rationale: Progressive deafness related to the ankylosis of the stapes is diagnosed as otosclerosis.
Which factor must the nurse consider when assessing readiness to learn when teaching health promotion practices for the visually and hearing impaired?
- A. Cultural beliefs
- B. Values
- C. Habits
- D. Income
- E. Occupation
Correct Answer: A,B,C
Rationale: The nurse must consider the patient's culture, beliefs, values, and habits, as well as the special needs of the older adult.
A patient reports that the entire right side of the head hurts and being unable to chew without pain. The nurse recognizes the patient has symptoms of which disorder?
- A. mumps
- B. external otitis
- C. otitis media
- D. labyrinthitis
Correct Answer: B
Rationale: The symptoms of painful head, painful chewing, and pain when the auricle is moved all indicate external otitis, frequently caused by compacted cerumen.
In which way will the nurse explain the purpose of photocoagulation to a diabetic patient with diabetic retinopathy?
- A. The procedure will destroy the retina, which is not getting enough blood supply.
- B. The procedure will reduce edema in the macula of the eye.
- C. The procedure will vaporize fatty deposits that appear in the retina.
- D. The procedure will destroy new blood vessels, seal leaking vessels, and help prevent retinal edema.
Correct Answer: D
Rationale: Photocoagulation is useful in diabetic retinopathy to cauterize hemorrhaging vessels and to destroy new vessels.
The nurse is aware that the patient has 20/40 vision. This means that the patient can see at 20 feet what the normal eye can see at which distance?
- A. 10 feet
- B. 20 feet
- C. 30 feet
- D. 40 feet
Correct Answer: D
Rationale: The Snellen Eye Chart tests visual acuity. A vision evaluation of 20/40 means that the patient can see at 20 feet what the person with normal vision can see at 40 feet.