c15 CNURSING 295 - Questions and Answers (Latest Version)

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N295 ch 15 MULTIPLE CHOICE 1. The nurse needs to pull the portion of the ear that consists of movable cartilage and skin down and back when administering eardrops. This portion of the ear is ... called the: 2. The nurse is examining a patient’s ears and notices cerumen in the external canal. Which of these statements about cerumen is correct? 3. When examining the ear with an otoscope, the nurse notes that the tympanic membrane should appear: 4. The nurse is reviewing the structures of the ear. Which of these statements concerning the eustachian tube is true? 5. A patient with a middle ear infection asks the nurse, “What does the middle ear do?” The nurse responds by telling the patient that the middle ear functions to: 6. The nurse is reviewing the function of the cranial nerves (CNs). Which CN is responsible for conducting nerve impulses to the brain from the organ of Corti? 7. The nurse is assessing a patient who may have hearing loss. Which of these statements is true concerning air conduction? 8. A patient has been shown to have a sensorineural hearing loss. During the assessment, it would be important for the nurse to: 9. During an interview, the patient states he has the sensation that “everything around him is spinning.” The nurse recognizes that the portion of the ear responsible for this sensation is the: 10. A patient in her first trimester of pregnancy is diagnosed with rubella. Which of these statements is correct regarding the significance of this in relation to the infant’s hearing? 11. The mother of a 2-year-old is concerned because her son has had three ear infections in the past year. What would be an appropriate response by the nurse? 12. A 31-year-old patient tells the nurse that he has noticed a progressive loss in his hearing. He says that it does seem to help when people speak louder or if he turns up the volume of a television or radio. The most likely cause of his hearing loss is: 13. A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing, especially in large groups. He says that he “can’t always tell where the sound is coming from” and the words often sound “mixed up.” What might the nurse suspect as the cause for this change? 14. During an assessment of a 20-year-old Asian patient, the nurse notices that he has dry, flaky cerumen in his canal. What is the significance of this finding? This finding: 15. The nurse is taking the history of a patient who may have a perforated eardrum. What would be an important question in this situation? 16. A 31-year-old patient tells the nurse that he has noticed pain in his left ear when people speak loudly to him. The nurse knows that this finding: 17. While discussing the history of a 6-month-old infant, the mother tells the nurse that she took a significant amount of aspirin while she was pregnant. What question would the nurse want to include in the history? 18. The nurse is performing an otoscopic examination on an adult. Which of these actions is correct? 19. The nurse is assessing a 16-year-old patient who has suffered head injuries from a recent motor vehicle accident. Which of these statements indicates the most important reason for assessing for any drainage from the ear canal? 20. In performing a voice test to assess hearing, which of these actions would the nurse perform? 21. In performing an examination of a 3-year-old child with a suspected ear infection, the nurse would: 22. The nurse is preparing to perform an otoscopic examination of a newborn infant. Which statement is true regarding this examination? 23. The nurse assesses the hearing of a 7-month-old by clapping hands. What is the expected response? The infant: 24. The nurse is performing an ear examination of an 80-year-old patient. Which of these findings would be considered normal? 25. An assessment of a 23-year-old patient reveals the following: an auricle that is tender and reddish-blue in color with small vesicles. The nurse would need to know additional information that includes which of these? 26. While performing the otoscopic examination of a 3-year-old boy who has been pulling on his left ear, the nurse finds that his left tympanic membrane is bright red and that the light reflex is not visible. The nurse interprets these findings to indicate a(n): 27. The mother of a 2-year-old toddler is concerned about the upcoming placement of tympanostomy tubes in her son’s ears. The nurse would include which of these statements in the teaching plan? 28. In an individual with otitis externa, which of these signs would the nurse expect to find on assessment? 29. When performing an otoscopic examination of a 5-year-old child with a history of chronic ear infections, the nurse sees that his right tympanic membrane is amber-yellow in color and that air bubbles are visible behind the tympanic membrane. The child reports occasional hearing loss and a popping sound with swallowing. The preliminary analysis based on this information is that the child: 30. The nurse is performing an assessment on a 65-year-old man. He reports a crusty nodule behind the pinna. It intermittently bleeds and has not healed over the past 6 months. On physical as-sessment, the nurse finds an ulcerated crusted nodule with an indurated base. The preliminary analysis in this situation is that this: 31. The nurse suspects that a patient has otitis media. Early signs of otitis media include which of these findings of the tympanic membrane? 32. The nurse is performing a middle ear assessment on a 15-year-old patient who has had a history of chronic ear infections. When examining the right tympanic membrane, the nurse sees the pres-ence of dense white patches. The tympanic membrane is otherwise unremarkable. It is pearly, with the light reflex at 5 o’clock and landmarks visible. The nurse should: 33. The nurse is preparing to do an otoscopic examination on a 2-year-old child. Which one of these reflects the correct procedure? 34. The nurse is conducting a child safety class for new mothers. Which factor places young children at risk for ear infections? 35. During an otoscopic examination, the nurse notices an area of black and white dots on the tympanic membrane and the ear canal wall. What does this finding suggest? 36. A 17-year-old student is a swimmer on her high school’s swim team. She has had three bouts of otitis externa this season and wants to know what to do to prevent it. The nurse instructs her to: 37. During an examination, the patient states he is hearing a buzzing sound and says that it is “driving me crazy!” The nurse recognizes that this symptom indicates: 38. During an examination, the nurse notices that the patient stumbles a little while walking, and, when she sits down, she holds on to the sides of the chair. The patient states, “It feels like the room is spinning!” The nurse notices that the patient is experiencing: 39. A patient has been admitted after an accident at work. During the assessment, the patient is having trouble hearing and states, “I don’t know what the matter is. All of a sudden, I can’t hear you out of my left ear!” What should the nurse do next? MULTIPLE RESPONSE 1. The nurse is testing the hearing of a 78-year-old man and is reminded of the changes in hearing that occur with aging that include which of the following? Select all that apply. [Show More]

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