Nokea
Which condition may cause conductive hearing loss.
- A. Buildup of cerumen
- B. Foreign bodies
- C. Otosclerosis of external auditory canal
- D. Trauma
- E. Exposure to ototoxic drugs
- F. Otitis media with effusion
Correct Answer: A,B,C,F
Rationale: Common causes of conductive hearing loss are buildup of cerumen and otitis media with effusion (escape of effusion). Other conditions that may result in conductive hearing loss are foreign bodies, otosclerosis, and stenosis of the external auditory canal. Sensorineural hearing loss is usually due to trauma, infectious processes, or exposure to ototoxic drugs.
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The 62-year-old patient reports a feeling of 'grittiness' in the eye and is having blurred vision. The eyes are reddened and have stringy mucus. Which disorder do these symptoms indicate?
- A. Sjögren syndrome
- B. Early cataracts
- C. Macular degeneration
- D. Retinal detachment
Correct Answer: A
Rationale: The Sjögren syndrome of 'dry eye' is associated with advancing age. There is insufficient production of tears. Excessive use of antihistamines, antidepressants, and decongestants may cause this syndrome to appear.
Which action should the nurse take when assisting a blind person to walk in an unfamiliar hospital environment?
- A. Discourage the use of the cane.
- B. Advise the patient to walk quickly.
- C. Describe the surroundings.
- D. Encourage the patient to ask for verbal cues.
- E. Place patient hand on nurse's shoulder or elbow.
Correct Answer: C,D,E
Rationale: The patient should be given verbal cues about the environment. Allow the patient to hold the nurse's shoulder or elbow while the nurse walks in front and encourage the use of a cane to let the patient 'examine' the boundaries and obstacles.
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.
Four hours after a stapedectomy, the patient complains that hearing has not improved at all. Knowledge of which fact will the nurse use to shape a response?
- A. A large percentage of stapedectomies are not successful.
- B. It will take at least 10 days for the graft to heal.
- C. Hearing will not return until edema subsides.
- D. Hearing will improve after irrigation of the ear.
Correct Answer: C
Rationale: Hearing improvement will not be noted until edema subsides and the packing is removed.
Which anatomical part is the most interior part of the eye?
- A. Choroid
- B. Cornea
- C. Aqueous humor
- D. Retina
- E. Lens
- F. Iris
Correct Answer: A
Rationale: The cornea is the outermost, followed by the aqueous humor, iris, lens, retina, and the choroid.