Chapter 13 part 2

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Questions and Answers

What do dense white patches on the tympanic membrane indicate?

Affecting the ability to hear due to abnormality on the tympanic membrane

The possibility of a fungal infection

The presence of blood in the middle ear

The presence of scars caused by repeated ear infections (correct)

How should the nurse perform an otoscopic examination on a 2-year-old child?

Pulling the pinna up and back

Pulling the pinna down (correct)

Slightly tilting the child's head toward the examiner

Instructing the child to touch his chin to his chest

What is the correct procedure for examining the right tympanic membrane of a patient with dense white patches?

Be concerned about the ability to hear because of this abnormality on the tympanic membrane

Know that these are scars caused from frequent ear infections (correct)

Refer the patient for the possibility of a fungal infection

Consider that these findings may represent the presence of blood in the middle ear

What is the significance of the light reflex at 5 o'clock on the tympanic membrane?

Normal and unremarkable Signup and view all the answers

Which type of infection is suggested by black or white dots on the tympanic membrane?

Yeast or fungal infection Signup and view all the answers

What can prevent otitis externa (swimmers ear) after swimming?

Rubbing alcohol or 2% acetic acid eardrops Signup and view all the answers

What is tinnitus?

A sound that comes from within a person, accompanying some hearing or ear disorders Signup and view all the answers

What is the difference between objective vertigo and subjective vertigo?

Objective vertigo makes the patient feel like the room is spinning, while subjective vertigo makes the patient feel like they are spinning Signup and view all the answers

When should sudden loss of hearing in one or both ears be immediately reported to the healthcare provider?

When it is not associated with an upper respiratory infection Signup and view all the answers

At what age does presbycusis, a type of hearing loss that occurs with aging, typically start?

Mid-40s Signup and view all the answers

What type of hearing loss is presbycusis?

Gradual sensorineural loss caused by nerve degeneration in the inner ear or auditory nerve Signup and view all the answers

What is the initial noticeable symptom of presbycusis?

High-frequency tone loss Signup and view all the answers

In presbycusis, which sounds are harder to hear compared to vowels?

Consonants Signup and view all the answers

What aspect of hearing is impaired in presbycusis?

The ability to localize sound Signup and view all the answers

What is a risk factor for ear infections in infants and children?

Passive cigarette smoke Signup and view all the answers

What does a colony of black or white dots on the tympanic membrane and the ear canal wall suggest?

Yeast or fungal infection Signup and view all the answers

How can otitis externa (swimmer's ear) be prevented?

Use rubbing alcohol or 2% acetic acid eardrops after every swim. Signup and view all the answers

What does tinnitus indicate?

Tinnitus Signup and view all the answers

What does it indicate when a patient feels like the room is spinning?

Objective vertigo Signup and view all the answers

What should the nurse do if a patient experiences a sudden loss of hearing in one or both ears?

Notify the patient's health care provider. Signup and view all the answers

Which of the following changes in hearing occur with aging?

Progression of hearing loss is slow. Signup and view all the answers

At what age does hearing loss related to aging begin?

40s Signup and view all the answers

What type of hearing loss reflects nerve degeneration of the middle ear?

Sensorineural hearing loss Signup and view all the answers

What is the first noticeable change in hearing for a person with presbycusis?

High-frequency tone loss Signup and view all the answers

What makes words sound garbled for a person with presbycusis?

Difficulty hearing consonants Signup and view all the answers

What is impaired in a person with presbycusis?

Ability to localize sound Signup and view all the answers

Study Notes

Ear Health Nursing Summary

Passive cigarette smoke is a risk factor for ear infections in infants and children.
Black or white dots on the tympanic membrane suggest a yeast or fungal infection.
Rubbing alcohol or 2% acetic acid eardrops can prevent otitis externa (swimmers ear) after swimming.
Tinnitus is a sound that comes from within a person, accompanying some hearing or ear disorders.
Objective vertigo makes the patient feel like the room is spinning, while subjective vertigo makes the patient feel like they are spinning.
Sudden loss of hearing in one or both ears not associated with an upper respiratory infection needs immediate reporting to the healthcare provider.
Presbycusis, a type of hearing loss that occurs with aging, starts in the mid-40s and progresses slowly.
Sounds may be garbled and difficult to localize in presbycusis.
Presbycusis is a gradual sensorineural loss caused by nerve degeneration in the inner ear or auditory nerve.
The person first notices a high-frequency tone loss in presbycusis.
It is harder to hear consonants than vowels in presbycusis, making words sound garbled.
The ability to localize sound is impaired in presbycusis.

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