NCLEX Review about Ear Infection (6-10)

NCLEX Review about Ear Infection

6. The nurse is caring for a hearing-impaired client. Which of the following approaches will facilitate communication?

a) speak loudly
b) speak frequently
c) speak at a normal volume
d) speak directly into the impaired ear

7. A client arrives at the emergency room with a foreign body in the left ear that has been determined to be an insect. Which intervention would the nurse anticipate to be prescribed initially?

a) irrigation of the ear
b) instillation of diluted alcohol
c) instillation of antibiotic ear drops
d) instillation of corticosteroid ointment



8. The nurse notes that the physician has documented a diagnosis of presbycusis on the client's chart. The nurse plans care knowing that the condition is:

a) tinnitus that occurs with aging
b) nystagmus that occurs with aging
c) a conductive hearing loss that occurs with aging
d) a sensorineural hearing loss that occurs with aging

9. The nurse has conducted discharge teaching for a client who has had a fenestration procedure for the treatment of otosclerosis. Which of the following, if stated by the client, would indicate that teaching was effective?

a) it is okay to take a shower and wash my hair
b) I can resume my tennis lessons starting next week
c) I will take stool softeners as prescribed by my doctor
d) I should drink liquids through a straw fo the next 2 to 3 weeks

10. A client with Meniere's disease is experiencing severe vertigo. Which instruction should the nurse give to the client to assist in controlling the vertigo?

a) increase sodium in the diet
b) avoid sudden head movements
c) lie still and watch the television
d) increase fluid intake to 3L a day





NCLEX Review about Ear Infection:
ANSWERS AND RATIONALE

6) C

- Speaking in a normal tone to the client with impaired hearing and not shouting are important. The nurse should talk directly to the client while facing the client and speak clearly. If the client does not seem to understand what is said, the nurse should express it differently. Moving closer to the client and toward the better ear may facilitate communication, but the nurse should avoid talking directly into the impaired ear.

7) B

- Insects are killed before removal unless they can be coaxed out by a flashlight or a humming noise. Mineral oil or diluted alcohol is instilled into the ear to suffocate the insect, which then is removed using ear forceps. When the foreign object is vegetable matter, irrigation is not used, because this material expands with hydration and the impaction becomes worse.

8) D

- Presbycusis is a type of hearing loss that occurs with aging. Presbycusis is a gradual sensorineural loss caused by nerve degeneration in the inner ear or auditory nerve. Options A, B, and C are incorrect.

9) C

- Following ear surgery, the client needs to avoid straining when having a bowel movement. The client needs to be instructed to avoid drinking with a straw for 2 to 3 weeks, air travel, and coughing excessively. The client needs to avoid getting his or her head wet, washing hair, showering for 1 week, and rapidly moving the head, bouncing, and bending over for 3 weeks.

10) B

- The nurse instructs the client to make slow head movements to prevent worsening of the vertigo. Dietary changes such as salt and fluid restrictions that reduce the amount of endolymphatic fluid are sometimes prescribed. Lying still and watching television will not control vertigo.

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