Campus Collusion
Review Questions for Test Preparation

       
    

  



Visual and Auditory ProblemsMedical-Surgical Nursing

Review Online for Free
Lies about Study Techniques: Believe them at your own risk.
www.NursingInAFlash.com

Page 21
Skip Navigation Links
Question Answer
When is otosclerosis most likely to accelerate?
Show Answer
During pregnancy
What is Schwartz's sign?
Show Answer
It is a reddish blue tympanum identified during otoscopic examination. It is associated with otosclerosis
What supplements can stabilize hearing loss associated with otosclerosis?
Show Answer
Sodium fluoride with vitamin D and calcium carbonate
What surgical treatments are available for a client with otosclerosis?
Show Answer
A stapedectomy (partial removal of the stapes) or fenestration (removal of the stapes with a prosthesis insertion)
People with otosclerosis typically experience of difference of _______ dB between air and bone conduction levels of hearing (bone is better).
Show Answer
20-25 dB
What are common after-effects of a stapedectomy or fenestration surgery?
Show Answer
Nausea, vomiting, dizziness, nystagmus is possible from disturbance of the perilymph fluid.
What are some teaching that should be given to a patient getting ear surgery?
Show Answer
Avoid sudden head movements, don't get out of bed without assistance (dizziness and vertigo are common), takes meds as prescribed, move slowly, don't get head wet until directed, report fever, pain hearing loss or drainage. Do not cough or blow nose, if you have to cough or sneeze, do it with the mouth open, avoid crowds, and avoid situations where ears might be pressurized (airplanes, high altitudes).
What are three symptoms associated with inner ear disease?
Show Answer
Vertigo, sensorineural hearing loss and tinnitus
Vertigo symptoms arise from the ________ labyrinth whereas hearing loss and tinnitus symptoms arise from the ________ labyrinth.
Show Answer
Vertigo-vestibular tinnitus/hearing loss-auditory
_________ is characterized by episodic vertigo, tinnitus, fluctuating sensorineural hearing loss, and aural fullness. Acute attacks of vertigo can cause nausea and vomiting.
Show Answer
Meniere's Disease (endolympathic hydrops)
Download these questions to your phone here
At what age does symptoms of Meniere's disease typically begin?
Show Answer
Between the ages of 30-60
Meniere's disease results in excessive endolymph causing the membranous labyrinth to rupture, mixing high potassium _________ with low potassium _________.
Show Answer
High potassium endolymph Low potassium perilymph
What is a drop attack?
Show Answer
A sensation of being pulled to the ground experienced by people with Meniere's disease
Meniere's disease has a lot of the same symptoms as a _______ disease. For this reason, audiograms, glycerol tests, electronystagmography and vestibular tests are conducted to differentiate the two.
Show Answer
CNS disease
You have a patient that is suspected of having Meniere's disease. The doctor ordered a glycerol test which just came back positive. You know that this means the client does or doesn't have Meniere's?
Show Answer
A positive test is diagnostic for Meniere's, the patient has it.
A client with Meniere's disease with have ______ sensorineural hearing loss and decreased function on vestibular tests.
Show Answer
Low-frequency
What medications are used to reduce vertigo in patients with Meniere's disease?
Show Answer
Diazepam (Valium), meclizine (Antivert), and fentanyl with droperidol (Innovar)
What types of medications are used to decrease abnormal sensations experienced by patients with Meniere's during an acute attack?
Show Answer
Anticholinergics, antihistamines, and benzodiazepines (Diuretics and antihistamines can be used between attacks)
What surgical procedures are available for a client with Meniere's disease?
Show Answer
-An endolymphatic shunt to reduce pressure on cochlear hair cells -Vestibular nerve resection to alleviate vertigo -If the problem is only with one ear, surgical ablation on the labyrinth may be performed, but the vestibular and cochlear function is los
What are the nursing interventions for a patient experiencing an acute attack from Meniere's disease?
Show Answer
-Quiet, darkened room -teach the patient to avoid sudden head movements/position changes -avoid fluorescent or flickering lights and television -provide an emesis basin -while patient is in bed the side rails should be up and the bed in low position &
_____________ is an inflammation of the inner ear affecting the vestibular and/or cochlear portion of the labyrinth.
Show Answer
Labyrinthitis
  
Page 21 Skip Navigation Links
Not what your looking for, continue searching

    
Skip Navigation Links