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NURS 400 Exam 6 – Questions With Valid Solutions

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NURS 400 Exam 6 – Questions With Valid Solutions

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Terms in this set (160)



hearing loss signs and symptoms talking loud, positioning head with better ear facing
the person they are listening to, asks people to
repeat things that they are saying, blank look,


risk factors of causes of hearing loss family history, congenital malformations, low birth
weight babies, recurrent ear infections, bacterial
meningitis, chronic exposure to loud noises,
perforation of the tympanic membrane, use of
ototoxic substances and medications,


ottotoxic medications diuretic agents, furosemide, chemotherapeutic
agents, antimilaria agents, anti inflammatory
agents,endomethacin, alcoholic and arsenic,
gentamicin, vancomicin,, gold, mecury, lead


causes of hearing loss aging, lesions in outer, inner, middle ear, central
auditory pathways


largest population of hearing loss ages 65 and older


conductive hearing loss disruption of sound from the external auditory canal
to the inner ear


what causes conductive hearing loss obstruction of the external ear canal, cerumen,
edema of canal, perforated tympanic membrane,
disruption of the bones in the ear, results in equal
hearing loss at all frequencies, benefit from hearing
aid

,sensory neural hearing loss sound ways transmitted but inner ear does not
receive sound, ototoxic drugs, lound sound, chemo,
prenatal rubella, viral, meningitis, trauma, aging, hard
to hear speech and high frequency hearing aid not
helpful


presbycusis degenrating cochlea gradual hearing loss, cupping
of ear to hear, need to see speaker while talking,
difficultly hearing in large groups, appear senile,
social isolation, family think they are unsociable,
senile or confused


hearing exam ages 65 older


tinnitus buzzing, roaring, ringing sound, conductive or
sensory,watch for aspirin, quanididne toxicity,
obstruction, infections, interfere with sleep, everyday
life


assess for hearing loss speech detorization, fatigue, irritable, indifferent,
depressed, disinterested, social withdrawl, insecurity,
indecision, suspicousness, false pride, pretends to
hear, fear of mistakes, procrastination, loss of
confidence, loneliness, unhappiness, feel isolated,
dominate conversations,


collaberative test rinnie and webber test, speech audiometry,
amplification, tympanometry, acoustic reflex testing,
surgery, manual dexterity, patient preferences, inner
ear canal hearing aid more expensive,


hearing aid problems whistling noise, improper selection, too much power
required, inadequate amplification, wax buildup,
wiring and tubing disconnected, improper mold or
fit, improper. can cause pain, ear, skin, cartilage
infection, ear tumors cause pain. expensive.

, patient education caring for hearing cleaning, mold can wash frequently soap and water,
aid dry completely, clean cannula, keep ear clean and
dry, malfunction or pain when it is not functioning
properly, make sure switch is on, battery charged, ear
mold clogged, notify hearing aid dealer. extended
time for repair may get a loaner one, pressure ulcers,
otitis media


notify physician of ear infection pain, swelling, redness, pain in jaw, fever, canal
swelling, difficulty hearing


nursing diagnoses for hearing loss disturbed sensory perception:auditory, impaired
verbal communication, social isolation, depression


focus for hearing loss patients proper care of ear and the canal, do not stick any
objects into the ear canal, plugs for swimming, ear
protection, monitor hearing for ottoxic meds,
provide alternate communication.


inner ear laberinth, equalibrium, more common in women and
older adults, vertigo -spinning sensation, ataxia,
nastagmus-rapid moving objects, occular vestibular
dysfunction, disorder in central and peripheral


infection of middle ear labrinthitis, upper respirtory, hearing loss, nastagmus,
risk for falls, inflammation destroys tissue, loss may
be premanent

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