Question:
What tests should clinicians perform to determine whether hearing loss is
primarily conductive or sensorineural?
Answer:
Weber & Rinne tests
Question:
What are the special tests to determine the presence of middle ear fluid?
Answer:
•tympanometry, acoustic reflex measurement, or acoustic reflectometry.
,Question:
What is tinnitus and what can it be caused by?
Answer:
•Ringing or buzzing noise in one or both ears that may be constant or come
and go, often associated with hearing loss.
Can be caused by the presence of middle ear fluid
Question:
Bilateral, high-pitched tinnitus may occur with severe _____________
Answer:
hypertension
(diastolic blood pressure exceeding 120 mm Hg); blood pressure should be
evaluated via orthostatic measurements
Question:
Severe tinnitus is associated with what?
Answer:
•depressive disorders; the NP should screen for psychologic disorders
, Question:
strategies to minimize symptoms of tinnitus
Answer:
playing background music during the daytime and before sleep to mask the
noise of tinnitus
smoking cessation and decreasing the intake of caffeine, chocolate, alcohol,
and salt.
Fatigue may also increase tinnitus; therefore, clients should be instructed in
proper sleep hygiene and encouraged to rest during the course of the day.
Chewing gum or swallowing should be encouraged during descent on
airplanes to promote eustachian tube opening and equalization of middle ear
pressure through deglutition (swallowing).
Question:
s/s of mononucleosis
Answer:
•Fatigue, sore throat, and low-grade fever.
•Nasal and throat mild erythema
•Edematous, enlarged tonsils bilaterally, with erythema of the pharyngeal wall
and tonsillar exudates.
•Inflamed posterior cervical lymph nodes.
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