What assessment findings are usually present with sensorineural hearing loss Quizlet

Recommended textbook solutions

Clinical Reasoning Cases in Nursing

7th EditionJulie S Snyder, Mariann M Harding

2,512 solutions

Pharmacology and the Nursing Process

7th EditionJulie S Snyder, Linda Lilley, Shelly Collins

388 solutions

Global Health 101 (Essential Public Health)

3rd EditionRichard Skolnik

188 solutions

The Language of Medicine

12th EditionDavi-Ellen Chabner

1,943 solutions

Wash your hands
Use an otoscope to locate the impaction; ascertain that the ear drum is intact and that the pt does not have otitis media
Gather the equipment: basin, irrigation syringe, otoscope, towel.
Warm tap water to body temperature
Fill a syringe with the warmed irrigating solution
Place a towel around the pt's neck
Place the basin under the ear to be irrigated
Place the tip of the syringe at an angle so that the fluid pushes to one side of and not directly on the impaction
Apply gentle but firm continuous pressure, allowing the water to flow against the top of the canal
Do nust use blasts or bursts of sudden pressure
If pain occurs, reduce the pressure. If pain persists, stop the irrigation
Watch the fluid return for cerumen plug removal
Contine to irrigate the ear with about 70 mL of fluid
If the cerumen does not drain out, wait 10 minutes and repeat the irrigation procedure
Monitor the pt for signs of nausea
IF the pt becomes nauseated, stop the procedure.
If the cerumen cannot be removed by irrigation, place mineral oil into the ear 3 times a d day for 2 days to soften dry, impacted cerumen, after which irrigation may be repeated
After completion of the irrigation, have the pt turn his or her head to the side just irrigated to drain any remain irrigation fluid
Wash your hands

Acute: intense ear pain, conductive hearing loss, tinnitus (low hum), headaches, n/v, dizziness
Otoscopic examination: eardrum initially retracted, later appears red, thickened, bulging.
Decreased mobility and pus may be seen behind membrane
Progression leads to spontaneous performation, reduced pain, pus and blood drainage

Students also viewed

1. Science
2. Medicine

• Flashcards

• Learn

• Test

• Match

• Flashcards

• Learn

• Test

• Match

Module 3

Terms in this set (18)

What are the openings to the middle ear? Select all that apply.

The oval window
The eustachian tube
The round window
The square window
The tympanic membrane

The tympanic membrane
The round window
The oval window
The eustachian tube

Explanation:
There are four openings to the middle ear chamber: tympanic membrane; cochlear window, also known as the round window; oval window; and eustachian tube. The square window is not an opening to the middle ear.

When planning care for a client with an inner ear infection, the nurse will need to include interventions for which of the following potential problems?

Headache
Vertigo
Fever
Rhinorrhea

Vertigo

Explanation:
The labyrinth within the inner ear senses the position and movements of the head and helps to maintain balance. If these structures are infected or inflamed, the client could develop vertigo. Rhinorrhea, fever, and headache are not potential problems associated with an inner ear infection.

A client visits a community clinic reporting severe allergies causing a "crackling sensation" in the ear. The physician diagnoses serous otitis media. Which of the following is a characteristic of this condition?

Fluid collects in the middle ear causing an obstruction of the auditory tube.
An upper respiratory infection spreads through the auditory tube.
This condition develops if acute purulent otitis media is not treated promptly.
This condition is usually associated with a puncture eardrum.

Fluid collects in the middle ear causing an obstruction of the auditory tube.

Explanation:

Serous otitis media results from fluid that collects in the middle ear, causing an obstruction of the auditory tube. This condition may stem from infection, allergy, tumors, or sudden changes in altitude. Symptoms include crackling sensations and fullness in the ear, with some hearing loss. Acute purulent otitis media is generally caused by an upper respiratory infection spreading through the auditory tube. Pus forms and collects in the middle ear to create pressure on the eardrum. Chronic otitis media can develop if acute purulent otitis media is not treated promptly. Chronic purulent otitis media is usually associated with a punctured eardrum or may be a complication of acute otitis media, mastoiditis, or a severe upper respiratory infection.

A nurse is educating a client about the function of the parts of the auditory system. Which is the function of the eustachian tube?

Sends sensory information to the cerebellum and midbrain.
Separates the external from the middle ear.
Transmits vibration to the fluid filled inner ear at the oval window.
Equalizes the pressure in the middle ear with atmospheric pressure.

Equalizes the pressure in the middle ear with atmospheric pressure.

Explanation:
The eustachian tube opens during swallowing or yawning. Its function is to equalize the pressure in the middle ear with atmospheric pressure so that there is equal pressure on both sides of the tympanic membrane to allow the drum to vibrate freely. The stapes transmits the vibration to the fluid-filled inner ear at the oval window. The vestibule sends information to the cerebellum and the midbrain. The tympanic membrane separates the external from the middle ear.

The nursing instructor is discussing the difference between sensorineural and conductive hearing loss with his class. The discussion turns to evaluation for determining what kind of hearing loss a client has. What Weber test results would indicate the presence of a sensorineural loss?

The sound is better in the ear in which he has better hearing.
The sound is heard longer in the ear in which he has better hearing.
The sound is heard equally in both ears.
The sound is heard better in the ear in which he has poorer hearing.

The sound is better in the ear in which he has better hearing.

Explanation:
A client with sensorineural hearing loss hears the sound better in the ear in which he has better hearing. The Weber test assesses bone conduction of sound and is used for assessing unilateral hearing loss. A tuning fork is used. A client with normal hearing hears the sound equally in both ears or describes the sound as centered in the middle of the head. A client whose hearing loss is conductive hears the sound better in the affected ear.

An increased risk of falls is dangerous for any client. What client would be at an increased risk of falls?

A client with a hearing loss of 45 dB.
A client with acute otitis media.
A client with vertigo.
A client with damage to the VIIIth cranial nerve.

A client with vertigo.

Explanation:
Vertigo is defined as the misperception or illusion of motion either of the person or the surroundings. A client suffering from vertigo will be at an increased risk of falls. This makes options A, B and D incorrect.

Which terms refers to the progressive hearing loss associated with aging?

Exostoses
Presbycusis
Otalgia
Sensorineural hearing loss

Presbycusis

Explanation:
Both middle and inner ear age-related changes result in hearing loss. Exostoses refers to small, hard, bony protrusions in the lower posterior bony portion of the ear canal. Otalgia refers to a sensation of fullness or pain in the ear. Sensorineural hearing loss is loss of hearing related to damage of the end organ for hearing and/or cranial nerve VIII.

During a pharmacology class the students are told that some drugs need to be closely monitored. What aspect should the nurse closely monitor for in clients who have been administered salicylates, loop diuretics, quinidine, quinine, or aminoglycosides?

Signs of hypotension
Impaired facial movement
Tinnitus and sensorineural hearing loss
Reduced urinary output

Tinnitus and sensorineural hearing loss

Explanation:
It is important that nurses are knowledgeable about the ototoxic effects of certain medications such as salicylates, loop diuretics, quinidine, quinine, and aminoglycosides. Signs and symptoms of ototoxicity include tinnitus and sensorineural hearing loss. Hypotension, reduced urinary output, and impaired facial movement are not signs of ototoxicity.

A nurse is interviewing a client as part of a routine examination of his ears and hearing. The nurse notes that this client has high blood pressure. Which of the following questions regarding his hearing should the nurse ask that is associated with his high blood pressure?

"Do you experience any ringing, roaring, or crackling in your ears?"
"Are you ever concerned that you may be losing your ability to hear well?"
"Do you have any ear drainage?"
"Do you have any ear pain?"

"Do you experience any ringing, roaring, or crackling in your ears?"

Explanation:
Ringing in the ears (tinnitus) may be associated with excessive ear wax buildup, high blood pressure, or certain ototoxic medications. None of the other questions pertains to conditions related to high blood pressure. Ear pain is associated with ear infections, cerumen blockage, sinus infections, teeth and gum problems, and swimmer's ear. Drainage usually indicates infection. Hearing loss may be related to any number of causes but is not associated with high blood pressure.

A mother of a small child calls the clinic and asks to schedule an appointment for ear tube removal. The call is transferred to the nurse. What is the nurse's best action?

Schedule appointment at hospital for tubes to be removed surgically.
Ask the mother how long the tubes have been in place.
Schedule first available office appointment.
Ask healthcare provider about prescribing antibiotics before removal.

Ask the mother how long the tubes have been in place.

Explanation:
Ear tubes generally fall out spontaneously in 2-5 years after placement, and the membrane most often closes. The client does not need manual removal in the office or operating room unless the child is experiencing problems. Antibiotics are indicated for infection and are not necessary for removal.

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

serous otitis media.
skull trauma.
trauma from infection.
acute otitis media.

acute otitis media.

Explanation:

In acute otitis media there is a bulging red membrane with decreased or absent light reflex.

Upon examination, the Advanced Practice Nurse finds that a client has otitis media with effusion. What assessment finding is most clearly indicative of this diagnosis?

A perforated tympanic membrane
Inflammation in the ear canal
A gray tympanic membrane
A diffuse cone of light

A diffuse cone of light

Explanation:

A diffuse cone of light indicates otitis media with effusion.

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 the eardrum
Clear discharge in the ear canal
Bloody discharge in the ear canal
Dense white patches on the tympanic membrane

Redness and bulging of the eardrum

Explanation:

Redness and bulging of the eardrum are characteristic of otitis media with effusion. Clear or bloody discharge occurs with rupture of the tympanic membrane. Dense white patches on the tympanic membrane are noted with scarring of the tympanic membrane.

You are teaching a class on diseases of the ear. What would you teach the class is the most characteristic symptom of otosclerosis?

The client describing a history of having had a recent upper respiratory infection.
A progressive, bilateral loss of hearing
A red and swollen ear drum
The client being distressed in the mornings

A progressive, bilateral loss of hearing

Explanation:
A progressive, bilateral loss of hearing is the characteristic symptom of otosclerosis. Tinnitus appears as the loss of hearing progresses; it is especially noticeable at night, when surroundings are quiet, and may be quite distressing to the client. The eardrum appears pinkish-orange from structural changes in the middle ear. The client often describes a history of having had a recent upper respiratory infection in case of otitis media, not otosclerosis.

Which finding should a nurse recognize as normal when assessing the ears of an elderly client?

Shortened earlobes
High-tone frequency loss
Decrease in cerumen production
Bulging tympanic membrane

High-tone frequency loss

Explanation:
Presbycusis, a gradual hearing loss, is common after the age of 50 years. It begins with a loss of the ability to hear high-frequency tones. Cerumen production may increase in older age or become drier and build up as the cilia become more rigid. The earlobes become elongated in older age. A bulging tympanic membrane is not a normal finding at any age.

The results of a client's Rinne test are as follows: bone conduction > air conduction. How should the nurse explain these findings to the client?

"You have a conductive hearing loss."
"You have a high frequency hearing loss."
"You have nerve damage in your ears."
"You have a unilateral hearing loss."

"You have a conductive hearing loss."

Explanation:
The Rinne test tests for conductive hearing loss. The client's results indicate that bone conduction is greater than air conduction which indicates conductive hearing loss. Air conduction should be twice as long as bone conduction. The whisper test evaluates loss of high frequency sounds. An audiogram can reveal a nerve related or unilateral hearing loss.

A client has Darwin tubercle. What is this?

A growth in the bony labyrinth
A type of skin cancer found on the ear
A growth in the ear canal
A small painless nodule on the helix

A small painless nodule on the helix

Explanation:
Small painless nodules on the helix are a variation of normal anatomy known as darwinian tubercle.

A client presents with otalgia and yellow-green discharge from the external ear canal. Which question should the nurse ask to determine the cause of this problem?

"Do you hear ringing in your ears?"
"Are their times when you feel dizzy?"
"Have you ever taken medication that is ototoxic?"
"Have you had any recent trauma to the inside of your ear?"

"Have you had any recent trauma to the inside of your ear?"

Explanation:
Otalgia and yellow-green discharge from the external ear canal suggest a ruptured tympanic membrane. In order to identify the cause of the rupture, it would be most effective to ask the client about trauma to the inside of the ear. Asking the client about ringing in the ears would suggest the nurse suspects tinnitus. The yellow-green drainage and pain are not associated with this condition. Asking the client about feeling dizzy suggests the nurse suspects vertigo. Yellow-green drainage and pain are not associated with this condition. Asking the client if she has ever taken medication that is ototoxic suggests the nurse is focusing the assessment on sensorineural hearing loss. Discharge and pain are not associated with this condition.

Students also viewed

Health Assesment Ears

40 terms

EugeneKrabsJr

CH17-PU

96 terms

laylahb

chapter 17: ears

42 terms

meghan_kennedy6

Health Assessment PREPU Chapter 17: Asse…

63 terms

ykimpossiblePLUS

Sets found in the same folder

Chapter 16: Assessing Eyes

33 terms

Mmcbryde218

Chapter 16: Assessing Eyes

15 terms

koma2345

Chapter 16: Assessing Eyes

23 terms

musicfreak7410PLUS

Chapter 20: Assessing breasts and lymphatic system

38 terms

meghan_kennedy6

Other sets by this creator

Peds Exam 3

54 terms

Mmcbryde218

NURA 403 Exam 2

147 terms

Mmcbryde218

NURA 403 Test 2 - Pediatrics

40 terms

Mmcbryde218

403 Exam 1 Highlights

35 terms

Mmcbryde218

Recommended textbook solutions

Pharmacology and the Nursing Process

7th EditionJulie S Snyder, Linda Lilley, Shelly Collins

388 solutions

The Human Body in Health and Disease

7th EditionGary A. Thibodeau, Kevin T. Patton

1,505 solutions

Clinical Reasoning Cases in Nursing

7th EditionJulie S Snyder, Mariann M Harding

2,512 solutions

Personal Health

2nd EditionKerry J Redican, Phillip B Sparling

106 solutions

Other Quizlet sets

Physiology Exam 1 Study Guide

30 terms

Halimaaden

Micro Test #4

42 terms

sophia_johnson12

LCSW Human Development 1

45 terms

JaeTommi

What characteristics of hearing loss are associated with sensorineural loss?

What is the diagnosis of sensorineural hearing loss?

Which portion of the ear would sensorineural hearing loss be associated with?

Which of the following are indicators of hearing loss?