Nokea
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.
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The nurse is planning the care of a patient with a diagnosis of vertigo. What nursing diagnosis risk should the nurse prioritize in this patients care?
- A. Risk for disturbed sensory perception
- B. Risk for unilateral neglect
- C. Risk for falls
- D. Risk for ineffective health maintenance
Correct Answer: C
Rationale: Vertigo increases fall risk due to impaired balance, making this the priority nursing diagnosis. Other risks are less immediate.
The nurse is discussing the results of a patients diagnostic testing with the nurse practitioner. What Weber test result would indicate the presence of a sensorineural loss?
- A. The sound is heard better in the ear in which hearing is better.
- B. The sound is heard equally in both ears.
- C. The sound is heard better in the ear in which hearing is poorer.
- D. The sound is heard longer in the ear in which hearing is better.
Correct Answer: A
Rationale: In sensorineural hearing loss, the Weber test shows sound lateralizing to the better-hearing ear, as the affected ear has impaired nerve function. Equal hearing or sound in the poorer ear suggests normal hearing or conductive loss.
A patient has benefited from a cochlear implant. The nurse should understand that this patients health history likely includes which of the following? Select all that apply.
- A. The patient was diagnosed with sensorineural hearing loss.
- B. The patients hearing did not improve appreciably with the use of hearing aids.
- C. The patient has deficits in peripheral nervous function.
- D. The patients hearing deficit is likely accompanied by a cognitive deficit.
- E. The patient is unable to lip-read.
Correct Answer: A,B
Rationale: Cochlear implants are used for profound bilateral sensorineural hearing loss unresponsive to hearing aids. Peripheral nerve deficits, cognitive issues, or inability to lip-read are not prerequisites.
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 nurse is teaching preventative measures for otitis externa to a group of older adults. What action should the nurse encourage?
- A. Rinsing the ears with normal saline after swimming
- B. Avoiding loud environmental noises
- C. Instilling antibiotic ointments on a regular basis
- D. Avoiding the use of cotton swabs
Correct Answer: D
Rationale: Avoiding cotton swabs prevents trauma to the ear canal, reducing otitis externa risk. Rinsing ears, noise avoidance, or routine antibiotics are not effective preventive measures.