NCLEX Review about Ear Infection 36-40

NCLEX Review about Ear Infection

36. A nurse is planning a presentation on noise prevention and ear protection for a display booth at a local health fair. The nurse plans to incorporate which important concept regarding hearing loss in the presentation?

a) siting near loud music is not harmful
b) ear plugs or other protectors are necessary only when use of power tools
c) prolonged ringing in the ears after loud noises is normal
d) cup the hands over the ears if loud noise is expected suddenly

37. A nurse instructs a client in the use of a hearing aid. The nurse includes which of the following in the instructions?

a) check the battery to ensure that it is working before use
b) leave the hearing aid in place while showering
c) hearing aids do not require any care
d) a water-soluble lubricant is used on the hearing aid before insertion

38. A nurse has given a client at risk for motion sickness suggestions about medications that can prevent an occurrence. The nurse determines that the client has correctly learned the information if the client states to take medication at what time before the triggering event?

a) at least 1/2 day before
b) at least 1 hour before
c) at least the day before
d) at least 2 days before

39. An adult client makes an appointment with an ear specialist because of the frequent recurrence of middle ear infections. In performing an intake assessment of the client, the nurse would ask about which of the following as a risk factor related to infection of the ears?

a) exposure to loud noise
b) use of drilling and other power tools
c) congenital abnormalities
d) occupational noise

40. A nurse is planning to instruct a client with chronic vertigo about safety measures to prevent exacerbation of symptoms or injury. Teaching for this client will include which of the following statements?

a) drive only when feelings of dizziness have not been experienced for several hours
b) go to the bedroom and lie down when vertigo is experienced
c) remove throw rugs and clutter in the home
d) turn the head slowly when spoken to





NCLEX REVIEW ABOUT EAR INFECTION:
ANSWERS AND RATIONALE

36) D

- A variety of ear protective devices are available commercially. These include disposable and reusable plugs, headbands, and foam-filled muffs. They should be used around any type of loud noise, such as from power tools, machinery, lawn mowers, chain saws, or other equipment. Sitting near loud music should be avoided whenever possible. If a loud noise is suddenly anticipated, the ears should be covered for protection. The client should see a physician for tinnitus or hearing loss after exposure to a loud noise.

37) A

- The battery of the hearing aid should be checked before use. The hearing aid should be removed for showering, because it should not get wet. It also should be put away in its case at night. It should be cleaned according to manufacturer’s directions, which usually consist of washing with warm soapy water, followed by thorough drying. Lubricants or other solvents are not used on the hearing aid.

38) B

- To be maximally effective, medications to prevent motion sickness should be taken at least 1 hour before the triggering event. Medications that are commonly used for this purpose include dimenhydrinate (Dramamine), scopolamine (Transderm-Scop), promethazine (Phenergan), and prochlorperazine (Compazine). Options A, C, and D are incorrect.

39) C

- Otitis media (middle ear infection) is associated with colds, allergies, sore throats, and blockage of the eustachian tube. Risk factors include a young age (usually a childhood disease), congenital abnormalities, immune deficiencies, exposure to cigarette smoke, family history of otitis media, recent upper respiratory infections, and allergies. Options A, B, and D can cause hearing loss. Hearing loss can occur as a result of an acute loud noise (acoustic trauma) or by the chronic exposure to loud noise (noise-induced hearing loss).

40) C

- The client with chronic vertigo should avoid driving and using public transportation. The sudden movements involved in each could precipitate an attack. To further prevent vertigo attacks, the client should change positions slowly and should turn the entire body, not just the head, when spoken to. If vertigo does occur, the client should immediately sit down or grasp the nearest piece of furniture. The client should maintain the home without throw rugs and in a state that is free of clutter, because the effort of trying to regain balance after slipping could trigger the onset of vertigo.



After you reviewed your answers through its rationale, you can also go back to the first page to start from the beginning:

NCLEX Review about Ear Infection 1-5


Or proceed to the next set of questions:

NCLEX Review about Ear Infection 41-45