Welcome to NCLEX Review about Ear Infection. Before you begin answering the questions, you may first want to take a peek about the material that will surely help you the pass the NCLEX examination:
Complete NCLEX Study Materials
46. A nurse is caring for a hospitalized client with an acute attack of Meniere's disease. The client verbalizes concern because the client has experienced a hearing loss as a result of the attack. Which of the following responses would the nurse make to the client regarding the hearing loss?
a) it will take several weeks before the hearing returns
b) the hearing loss will fluctuate for a period of 1 week
c) the attack leaves a hearing loss in the involved ear
d) the hearing will return to normal
47. A nurse is reviewing the physician's orders on a client admitted to the hospital with a diagnosis of an acute attack of Meniere's disease. Which of the following orders, if noted on the client's chart, would the nurse question?
a) the administration of a sedative
b) the administration of an antihistamine
c) the administration of vasoconstrictor
d) bedrest
48. A nurse is providing discharge instructions to the client who was hospitalized for an acute attack of Meniere's disease. Which of the following statements, if made by the client, indicates a need for further instructions?
a) I need to take the diuretics to decrease the fluid in the ear
b) I need to take antihistamine as prescribed
c) I need to take a vasodilator
d) it is not necessary to restrict salt in my diet
49. A client with a diagnosis of otosclerosis is admitted to the ambulatory care unit for stapedectomy, and the nurse prepares instructions for the client regarding home care after the procedure. Which statement by the client indicates a need for further instructions?
a) I need water out of the ear canal for at least 3 weeks
b) I need to avoid air travel for at least 1 year
c) I need to notify the physician if I experience any persistent dizziness
d) I need to avoid bending and lifting heavy objects for at least 3 weeks
50. A community health nurse is conducting a health-screening clinic and is scheduled to perform hearing tests on the clients who attend the screening session. Several nurses have volunteered to assist with the screening clinic. The community health nurse instructs the nurses to perform a voice test to assess hearing in the clients and tells the nurses to do which of the following?
a) with back to the client, whisper a statement, and determine if the client can clearly repeat it
b) face the client, and whisper a statement while the client blocks both ears
c) stand 4 feet away from the client when talking to the client, and determine if the client can hear at this distance
d) quietly whisper a statement, and ask the client to repeat it to determine the hearing ability
NCLEX Review
Answers and Rationale
46) C
- After the acute phase, remission occurs, but symptoms of the disease will recur with two or three acute attacks occurring per year. As this pattern of attacks and remissions develops, fewer symptoms occur during the acute phase. A complete remission eventually occurs with some degree of hearing loss, varying from slight to complete. It takes several weeks before all symptoms subside after an attack, leaving a loss of hearing in the involved ear. Options A, B, and D are incorrect.
47) C
48) D
- Management during remission includes the use of diuretics to decrease the fluid and thereby decrease pressure in the endolymph. Antihistamines, vasodilators, and diuretics may be prescribed for the client. A low-salt diet is prescribed for the client to reduce fluid retention. The major goal of treatment is to preserve the client's hearing, and careful medical management helps achieve this in most clients with Ménière's disease.
49) B
- After stapedectomy, the client is instructed to keep water out of the ear canal for at least 3 weeks and to avoid swimming for 6 weeks. The client also is instructed to avoid coughing and sneezing and to avoid bending and lifting heavy objects or other strenuous activities for at least 3 weeks. Air travel is avoided for 4 weeks. If sudden hearing loss, fever, or severe persistent vertigo or dizziness develops, the physician should be notified.50) D
- The examiner should stand 1 to 2 feet away from the client and ask the client to block one external ear canal. The nurse quietly whispers a statement and asks the client to repeat it. Each ear is tested separately. Options A, B, and C are incorrect.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
Posts
0 comments:
Post a Comment