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Questions and Answers
What does the Weber test indicate when sound is heard best in the affected ear?
What does the Weber test indicate when sound is heard best in the affected ear?
In the Rinne test, what does it mean if air conduction is audible longer than bone conduction in the affected ear?
In the Rinne test, what does it mean if air conduction is audible longer than bone conduction in the affected ear?
Which part of the ear is primarily assessed by the vestibular system in maintaining balance?
Which part of the ear is primarily assessed by the vestibular system in maintaining balance?
What effect does the hardening of cerumen have on hearing?
What effect does the hardening of cerumen have on hearing?
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Which of the following describes a function of a cochlear implant?
Which of the following describes a function of a cochlear implant?
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Which assessment technique is used to evaluate hearing loss by whispering from a distance?
Which assessment technique is used to evaluate hearing loss by whispering from a distance?
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What is a common issue patients may experience with hearing aids?
What is a common issue patients may experience with hearing aids?
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Which intervention is important during the nursing management of a patient with hearing loss?
Which intervention is important during the nursing management of a patient with hearing loss?
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What is a common complaint that may indicate hearing loss during a nursing assessment?
What is a common complaint that may indicate hearing loss during a nursing assessment?
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What may happen to older adults in relation to balance due to changes in vestibulospinal reflexes?
What may happen to older adults in relation to balance due to changes in vestibulospinal reflexes?
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In post-operative care for tympanic membrane perforation, which practice should be avoided?
In post-operative care for tympanic membrane perforation, which practice should be avoided?
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What should a nurse educate a patient about following tympanoplasty?
What should a nurse educate a patient about following tympanoplasty?
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How does presbycusis affect communication in elderly patients?
How does presbycusis affect communication in elderly patients?
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Which of the following is NOT a recommended practice for patients with cerumen impaction?
Which of the following is NOT a recommended practice for patients with cerumen impaction?
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What is a primary clinical manifestation of tympanic membrane perforation?
What is a primary clinical manifestation of tympanic membrane perforation?
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Which procedure assesses the function of the vestibular system?
Which procedure assesses the function of the vestibular system?
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What is the primary purpose of the Sinusoidal Harmonic Acceleration test?
What is the primary purpose of the Sinusoidal Harmonic Acceleration test?
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Which of the following is NOT a risk factor for hearing loss?
Which of the following is NOT a risk factor for hearing loss?
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Which symptom is commonly associated with early manifestations of deafness?
Which symptom is commonly associated with early manifestations of deafness?
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What physiological change can contribute to hearing loss in older adults?
What physiological change can contribute to hearing loss in older adults?
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Which statement accurately defines sensorineural hearing loss?
Which statement accurately defines sensorineural hearing loss?
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What is a potential psychological effect of hearing loss?
What is a potential psychological effect of hearing loss?
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How does chronic exposure to loud volume using headphones affect hearing?
How does chronic exposure to loud volume using headphones affect hearing?
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During a focused assessment of patients with hearing loss, which behavior should be observed as a potential indicator?
During a focused assessment of patients with hearing loss, which behavior should be observed as a potential indicator?
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Which of the following is NOT classified as an ototoxic substance?
Which of the following is NOT classified as an ototoxic substance?
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What is the primary cause of Benign Paroxysmal Positional Vertigo?
What is the primary cause of Benign Paroxysmal Positional Vertigo?
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Which of the following symptoms is most commonly associated with acoustic neuroma?
Which of the following symptoms is most commonly associated with acoustic neuroma?
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Which treatment method is commonly used in the medical management of Benign Paroxysmal Positional Vertigo?
Which treatment method is commonly used in the medical management of Benign Paroxysmal Positional Vertigo?
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What can occur if an acoustic neuroma grows large enough to affect the trigeminal nerve?
What can occur if an acoustic neuroma grows large enough to affect the trigeminal nerve?
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Which of the following is a common vestibular suppressant used in managing vertigo?
Which of the following is a common vestibular suppressant used in managing vertigo?
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Which of these is NOT a characteristic symptom of tinnitus?
Which of these is NOT a characteristic symptom of tinnitus?
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Which medication type is commonly linked to causing ototoxicity?
Which medication type is commonly linked to causing ototoxicity?
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What does a normal result from the Weber test indicate?
What does a normal result from the Weber test indicate?
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What degree of hearing loss is categorized as moderate?
What degree of hearing loss is categorized as moderate?
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Which of the following tests helps differentiate between conductive and sensorineural hearing loss?
Which of the following tests helps differentiate between conductive and sensorineural hearing loss?
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What is the purpose of the Auditory Brainstem-Evoked Response (ABR) test?
What is the purpose of the Auditory Brainstem-Evoked Response (ABR) test?
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What condition indicates a profound hearing loss?
What condition indicates a profound hearing loss?
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What does a tympanogram measure?
What does a tympanogram measure?
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Which condition is assessed by Electronystagmography (ENG)?
Which condition is assessed by Electronystagmography (ENG)?
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What signifies a slight hearing loss diagnosis according to audiometry?
What signifies a slight hearing loss diagnosis according to audiometry?
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What is a common clinical manifestation associated with the condition discussed?
What is a common clinical manifestation associated with the condition discussed?
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Which surgical management technique involves inserting a drain through a postauricular incision?
Which surgical management technique involves inserting a drain through a postauricular incision?
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Which of the following pharmacologic therapies is specifically used as an antiemetic?
Which of the following pharmacologic therapies is specifically used as an antiemetic?
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What feeling may accompany the episodes of vertigo in this condition?
What feeling may accompany the episodes of vertigo in this condition?
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Which demographic is more commonly affected by the condition described?
Which demographic is more commonly affected by the condition described?
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What is a characteristic behavior of school-age children with hearing impairments?
What is a characteristic behavior of school-age children with hearing impairments?
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Which communication method allows children to 'see-hear' every spoken syllable?
Which communication method allows children to 'see-hear' every spoken syllable?
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In the Total Communication approach, which of the following techniques is utilized?
In the Total Communication approach, which of the following techniques is utilized?
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What is an indicator of a child experiencing attention issues potentially linked to hearing impairment?
What is an indicator of a child experiencing attention issues potentially linked to hearing impairment?
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Which characteristic is NOT associated with children who have hearing impairments?
Which characteristic is NOT associated with children who have hearing impairments?
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What is the most appropriate treatment for pediatric acoustic tumors?
What is the most appropriate treatment for pediatric acoustic tumors?
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Which assessment method is most effective for detecting inner ear hearing loss?
Which assessment method is most effective for detecting inner ear hearing loss?
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What is a common behavior observed in infants with hearing impairment?
What is a common behavior observed in infants with hearing impairment?
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How is hearing impairment typically expressed in terms of severity?
How is hearing impairment typically expressed in terms of severity?
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What age group may display behaviors such as appearing developmentally delayed or communicating needs through gestures?
What age group may display behaviors such as appearing developmentally delayed or communicating needs through gestures?
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What limitation is associated with the Auditory Brainstem Response (ABR) test?
What limitation is associated with the Auditory Brainstem Response (ABR) test?
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Which of the following indicates a potential hearing impairment in a toddler?
Which of the following indicates a potential hearing impairment in a toddler?
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Which of the following frequencies is typically tested using the Auditory Brainstem Response (ABR)?
Which of the following frequencies is typically tested using the Auditory Brainstem Response (ABR)?
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What is a common clinical manifestation of otosclerosis?
What is a common clinical manifestation of otosclerosis?
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Which type of otitis media is characterized by persistent inflammation and may require surgery?
Which type of otitis media is characterized by persistent inflammation and may require surgery?
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What is one common treatment method for motion sickness?
What is one common treatment method for motion sickness?
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Which of the following conditions is characterized by fluctuating hearing loss and vertigo?
Which of the following conditions is characterized by fluctuating hearing loss and vertigo?
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What typically reveals a normal tympanic membrane in a patient with otosclerosis during examination?
What typically reveals a normal tympanic membrane in a patient with otosclerosis during examination?
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What is the first-line intervention that may be used to slow the progression of otosclerosis?
What is the first-line intervention that may be used to slow the progression of otosclerosis?
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Which type of otitis media is associated with fluid accumulation without infection?
Which type of otitis media is associated with fluid accumulation without infection?
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What potential complication may arise from chronic otitis media?
What potential complication may arise from chronic otitis media?
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Study Notes
Nursing Assessment: Sensorineural Function (Ear)
-
Anatomy (EAR):
- External ear: auricle (pinna) and external auditory canal
- Middle ear: air-filled cavity, tympanic membrane, otic capsule
- Inner ear: housed deep within the temporal bone
- Hearing: conducted via air and bone pathways
- Balance and Equilibrium: maintained by muscles, joints, eyes, and labyrinth
-
Gerontological Considerations:
- Atrophy of external ears
- Thinning/drying of ear canal
- Hardening of cerumen (earwax)
- Thickening of eardrum
- Impaired sound transmission (vestibulospinal reflex changes, progressive imbalance, organ of Corti degeneration)
-
Hearing Loss:
-
Conductive:
- Weber Test: sound heard best in affected ear
- Rinne Test: sound heard as long or longer in affected ear
-
Sensorineural:
- Weber Test: sound heard best in normal hearing ear
- Rinne Test: air conduction audible longer than bone conduction
- Mixed: conductive and sensorineural
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Conductive:
-
Assessment-History:
- Patient health history (common complaints, past medical history, infections, medications)
- Family history
- Social history (withdrawal from communication, depression, inability to continue profession due to hearing loss)
-
Assessment-Physical:
- Inspection/palpation of external ear & internal ear (using otoscope)
- Hearing evaluation methods:
- Whisper test
- Weber test
- Rinne test
-
Diagnostic Evaluation:
-
Audiometry:
- Hearing loss ratings in decibel ranges (0-15dB normal, >90dB profound)
-
Imaging:
- Tympanogram: assesses middle ear function
- Auditory Brainstem-Evoked Response (ABR): evaluates hearing ability and diagnoses auditory nerve disorders
- Electronystagmography (ENG): assesses vestibular system
- Platform Posturography: evaluates balance
- Sinusoidal Harmonic Acceleration: evaluates vestibular system function
- Middle Ear Endoscopy: visualizes middle ear
-
Audiometry:
Chapter 49: Nursing Management: Patients with Hearing and balance disorders
-
Hearing loss:
- Pathophysiology: conduction problem, sensorineural loss or mix of both, or psychogenic issues
- Risk factors: family history, congenital malformations, low birth weight, ototoxic medications, recurrent ear infections, chronic noise exposure, perforated tympanic membrane
- Focused Assessment: speech deterioration, fatigue, indifference, social withdrawal, insecurity, procrastination, suspiciousness
- Clinical manifestations: tinnitus, increasing inability to hear in a group, need to turn up volume, changes in attitude, communication, awareness, and quality of life
- Gerontologic considerations: cerumen hardens, dries, tympanic membrane atrophies, cochlear degeneration
- Medical management: implanted hearing devices, aural rehabilitation, hearing aids
Chapter 49 (continued)
- Conditions affecting the external ear: cerumen impaction, foreign bodies, otitis externa (swimmer's ear)
- Conditions affecting the middle ear: tympanic membrane perforation (clinical manifestations, medical & nursing management)
- Conditions affecting the inner ear: motion sickness, Meniere's disease (pathophysiology, clinical manifestations, risk factors, medical management)
- Otitis media: acute, chronic, serous
- Conditions affecting inner ear (continued): ototoxicity, causes, effects, and clinical manifestations
- Otitis media: Pathophysiology , medical and nursing management
- Otosclerosis: clinical manifestation, audiogram
- Tinnitus: Pathophysiology, medical and nursing management
Chapter 49 continued: Specific Topics
- Pediatric Impairment: Hearing impairment, Otoacoustic emission (OAE) testing, auditory brainstem response (ABR), hearing loss behaviors (toddlers, preschoolers; school-age children and adolescents)
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Description
This quiz covers the anatomy of the ear, including the external, middle, and inner ear structures. It also addresses gerontological considerations and differentiates between conductive and sensorineural hearing loss. Test your knowledge of auditory function and nursing assessments related to ear health.
