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Visual and Auditory SystemsMedical-Surgical Nursing-7th edition

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A syndrome characterized by recurring episodes of hearing loss, tinnitus, vertigo and aural fullness. It often results in gradually progressive deafness….
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Meniere's disease
You have a client with Meniere's disease. What dietary recommendations would you make?
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Suggest restrictions in alcohol and sodium (less than 2 g/day), these patients often have some improvement with those changes.
A client has been experiencing pain while chewing and swallowing and as a result has lost some weight. You suspect a problem in the _____ ear.
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Middle (this often happens when there's a problem in this part of the ear)
There is a higher incidence of hearing loss in individuals who wear ______.
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Dentures
Elimination patterns and their association with ear problems are mainly of interest in the patients who have ___________.
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Perilymph fistulas or in those who are immediately postoperative.
The _________ patient needs to prevent the increased intracranial (and inner ear) pressure associated with straining during bowel movements.
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Post-stapedectomy (surgery done to improve hearing in people with otosclerosis or when a prosthesis is put in a person with severe hearing impairment)
A client with _______ disease develops increasing problems with vertigo (processing environmental input) as the day progresses.
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Meniere's disease
A client with _______ experiences vertigo that improves as a day progresses.
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Benign Paroxysmal Positional Vertigo (BPPV/Chronic Vertigo)
What suggestion can a nurse make to help reduce the number or lessen the affects of vertigo?
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Encourage frequent repetition of an activity that causes vertigo symptoms to encourage the body to adjust so the activity is no longer a problem.
Aged related loss of elasticity of the cartilage of the ear presents as...
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A collapsed ear canal (normal finding for the older population)
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What external ear changes are commonly seen in the older population?
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Increased production of and drier cerumen (which can cause some hearing loss), increased hair growth and loss of elasticity of the cartilage.
What middle ear changes are commonly seen in the older population?
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The tympanic membrane undergoes atrophic changes leading to conductive hearing loss.
What inner ear changes are commonly seen in the older population?
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Hair cell degeneration, neuron degeneration in the auditory nerve and central pathways, reduced blood supply to cochlea, calcification of the ossicles and a less effective vestibular apparatus in the semicircular canals.
Presbycusis, diminished sensitivity to high pitched sounds, impaired speech reception, tinnitus, and alterations in balance and body orientation are all conditions that occur commonly in the elderly due to age related changes in the ______ ear.
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Inner
Why should a nurse question a patient with chronic tinnitus about their sleep?
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Tinnitus can disturb sleep and activities conducted in a quiet environment.
How is snoring related to ear pain?
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Snoring can be caused by swelling or hypertrophy of tissue in the nasopharynx which can also impair functioning of the eustachian tube and cause a sensation of fullness or pain.
_______ is a common response to a hearing problem and should be assessed.
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Denial
What should the results of the Rinne test be?
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AC > BC (Air conduction is heard longer than bone conduction)
The circumference of the tympanic membrane is thickened into a dense, whitish fibrous ring called the __________.
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Annulus
What parts of the malleus should be visible through the tympanic membrane when using an otoscope?
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The handle (manubrium) and the end (umbo). Note: the umbo is pretty much in the middle of the tympanic membrane.
The tympanum is normally taut and is called ________.
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Pars tensa
  
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