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prep U #14: ears
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Terms in this set (22)
After having a client perform a Romberg test, which of the following would indicate to the nurse that the test is negative?
maintains position during the exam
The nurse notes otitis media with effusion in the left ear of a 3-year-old child. Which assessment data is consistent with otitis media with effusion?
redness and bulging of eardrum
In which position should the nurse place the toddler when examining the ear?
Sitting on the parent's lap with parent steadying the head
The results of a client's Rinne test are as follows: bone condcution > air conduction. How should the nurse explain these findings to the client?
You have a conductive hearing loss."
An increased risk of falls is dangerous for any patient. What patient would be at an increased risk of falls?
patient with vertigo
Some clients with acoustic neuromas have vertigo. What is a priority nursing action with clients with vertigo?
protect the client from injury
A client's electronic health record states that he has been diagnosed with sensorineural hearing loss. Which condition should the nurse most likely identify as a cause?
inner ear problem
The transmission of sound waves through the external ear and the middle ear is known as
conductive hearing
During an assessment the nurse learns that a client has been experiencing tinnitus "for weeks." Which medication should the nurse consider as causing this client's symptom? Select all that apply
aspirin
furosemide
A patient comes to the clinic and reports pain when he touches his ear. With what is this finding most consistent?
otitis externa
After examining the client's tympanic membranes, the nurse documents "Right tympanic membrane, red and bulging with no light reflex." The nurse recognizes that these are signs of
acute otitis media
The nurse is planning to conduct the Weber test on an adult male client. To perform this test, the nurse should plan to
strike tuning fork and place on forehead
A mother of a small child calls the clinica and asks to schedule an appointment for ear tube removal. The call is transferred to the nurse. What is the nurse's best action?
ask mother how long tubes have been placed
A 12-year-old boy was brought to the emergency department after being hit in the head with a ball during a baseball game. What assessment finding would suggest to the nurse trauma to the middle ear or inner ear?
dark red or bluish tympanic membrane
Which of the following, if obtained during the health history, would alert the nurse to a possible ear-related problem?
cotton swabs inside ear
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