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Exam 15: Ears

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Question 1

Multiple Choice

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The nurse is reviewing the structures of the ear.Which of these statements concerning the eustachian tube is true?

A) It is responsible for the production of cerumen.
B) It remains open except when swallowing or yawning.
C) It allows passage of air between the middle and outer ear.
D) It helps equalize air pressure on both sides of the tympanic membrane.

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Question 2

Multiple Choice

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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.The most likely cause of his hearing loss is:

A) otosclerosis.
B) presbycusis.
C) trauma to the bones.
D) frequent ear infections.

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Question 3

Multiple Choice

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The nurse is performing an otoscopic examination on an adult.Which of these actions is correct?

In an individual with otitis externa,which of these signs would the nurse expect to find on assessment?

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:

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?

The nurse is preparing to perform an otoscopic examination of a newborn infant.Which statement is true regarding this examination?

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 there are air bubbles 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 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:

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?

The nurse assesses the hearing of a 7-month-old by clapping hands.What is the expected response?

An assessment of a 23-year-old patient reveals the following: an auricle that is tender and reddish-blue in color with small vesicles.Additional information the nurse would need to know includes which of these?

The nurse is performing an ear examination of an 80-year-old patient.Which of these would be considered a normal finding?

The nurse is performing a middle ear assessment on a 15-year-old patient who has a history of chronic ear infections.When examining the right tympanic membrane,the nurse sees the presence 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:

The nurse is examining a patient's ears and notices cerumen in the external canal.Which of these statements about cerumen is correct?

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:

While discussing the history of a 6-month-old infant,the mother tells the nurse that she took a great deal of aspirin while she was pregnant.What question would the nurse want to include in the history?

The nurse is preparing to do an otoscopic examination on a 2-year-old child.Which of these reflects correct procedure?

A colleague is assessing an 80-year-old patient who has ear pain and asks him to hold his nose and swallow.The nurse knows that which of the following is true concerning this technique?

In performing a voice test to assess hearing,which of these actions would the nurse do?