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