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NURS 400 Exam 6 Questions with Complete Solutions.
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NURS 400 Exam 6 Questions with Complete Solutionshearing loss signs and symptoms Correct Answer-talking loud,
positioning head with better ear facing the person they are listening to,
asks people to repeat things that they are saying, blank look,
risk factors of causes of hearing loss Correct Answer-family history,
congenital malformations, low birth weight babies, recurrent ear
infections, bacterial meningitis, chronic exposure to loud noises,
perforation of the tympanic membrane, use of ototoxic substances and
medications,
ottotoxic medications Correct Answer-diuretic agents, furosemide,
chemotherapeutic agents, antimilaria agents, anti inflammatory
agents,endomethacin, alcoholic and arsenic, gentamicin, vancomicin,,
gold, mecury, lead
causes of hearing loss Correct Answer-aging, lesions in outer, inner,
middle ear, central auditory pathways
largest population of hearing loss Correct Answer-ages 65 and older
conductive hearing loss Correct Answer-disruption of sound from the
external auditory canal to the inner ear
what causes conductive hearing loss Correct Answer-obstruction of the
external ear canal, cerumen, edema of canal, perforated tympanic
,membrane, disruption of the bones in the ear, results in equal hearing
loss at all frequencies, benefit from hearing aid
sensory neural hearing loss Correct Answer-sound ways transmitted but
inner ear does not receive sound, ototoxic drugs, lound sound, chemo,
prenatal rubella, viral, meningitis, trauma, aging, hard to hear speech and
high frequency hearing aid not helpful
presbycusis Correct Answer-degenrating cochlea gradual hearing loss,
cupping of ear to hear, need to see speaker while talking, difficultly
hearing in large groups, appear senile, social isolation, family think they
are unsociable, senile or confused
hearing exam Correct Answer-ages 65 older
tinnitus Correct Answer-buzzing, roaring, ringing sound, conductive or
sensory,watch for aspirin, quanididne toxicity, obstruction, infections,
interfere with sleep, everyday life
assess for hearing loss Correct Answer-speech detorization, fatigue,
irritable, indifferent, depressed, disinterested, social withdrawl,
insecurity, indecision, suspicousness, false pride, pretends to hear, fear
of mistakes, procrastination, loss of confidence, loneliness, unhappiness,
feel isolated, dominate conversations,
collaberative test Correct Answer-rinnie and webber test, speech
audiometry, amplification, tympanometry, acoustic reflex testing,
,surgery, manual dexterity, patient preferences, inner ear canal hearing
aid more expensive,
hearing aid problems Correct Answer-whistling noise, improper
selection, too much power required, inadequate amplification, wax
buildup, wiring and tubing disconnected, improper mold or fit, improper.
can cause pain, ear, skin, cartilage infection, ear tumors cause pain.
expensive.
patient education caring for hearing aid Correct Answer-cleaning, mold
can wash frequently soap and water, dry completely, clean cannula, keep
ear clean and dry, malfunction or pain when it is not functioning
properly, make sure switch is on, battery charged, ear mold clogged,
notify hearing aid dealer. extended time for repair may get a loaner one,
pressure ulcers, otitis media
notify physician of ear infection Correct Answer-pain, swelling, redness,
pain in jaw, fever, canal swelling, difficulty hearing
nursing diagnoses for hearing loss Correct Answer-disturbed sensory
perception:auditory, impaired verbal communication, social isolation,
depression
focus for hearing loss patients Correct Answer-proper care of ear and the
canal, do not stick any objects into the ear canal, plugs for swimming,
ear protection, monitor hearing for ottoxic meds, provide alternate
communication.
, inner ear Correct Answer-laberinth, equalibrium, more common in
women and older adults, vertigo -spinning sensation, ataxia, nastagmus-
rapid moving objects, occular vestibular dysfunction, disorder in central
and peripheral
infection of middle ear Correct Answer-labrinthitis, upper respirtory,
hearing loss, nastagmus, risk for falls, inflammation destroys tissue, loss
may be premanent
meniere's disease Correct Answer-imbalance of fluid inner ear, adults in
40's, common in men and women, bilaterally, genetics, manifest,
episodic veritigo, tennitis, pressure, fullness in ear, vertigo, nausea and
vomiting, dx vertigo most troublesome, hx frequency, duration, intensity
of attacks, sweating, wake them up at night, cranial nerve 8, manage
with diet and meds, 1000 to 1500 mg sodium a day, limit high salt and
sugar, meals and snacks reguarly, water, milk, avoid caffiene, avoid
MSG, watch potassium, avoid aspirin, SODIUM and Fluid retention can
be a problem. antihistamine, tranquilizers, diazepam, phenergan,
suppositories, diurectics hydroclorothiazide, gentamicin to oblate
vestibular hair cells, surgery endolymphatic sac decompression,
vestibular nerve sectioning
hearing loss, inner ear disorders, assessment, management of care
Correct Answer-chapter 64
ataxia Correct Answer-impaired coordination of movements during
voluntary movement
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