Nursing 212 Exam 1- Adult Sensory Questions With
Complete Solutions
A nursing student is instructed to remove a clients ear packing
and instill eardrops. What action by the student requires
intervention by the registered nurse?
a. Assessing the eardrum with an otoscope
b. Inserting a cotton ball in the ear after the drops
c. Warming the eardrops in water for 5 minutes
d. Washing the hands and removing the packing
D
The student should wash his or her hands, don gloves, and then
remove the packing. The other actions are correct.
A nurse is irrigating a clients ear when the client becomes
nauseated. What action by the nurse is most appropriate for
client comfort?
a. Have the client tilt the head back.
b. Re-position the client on the other side.
c. Slow the rate of the irrigation.
d. Stop the irrigation immediately.
D
During ear irrigation, if the client becomes nauseated, stop the
procedure. The other options are not helpful.
,A client hospitalized for a wound infection has a blood urea
nitrogen of 45 mg/dL and creatinine of 4.2 mg/dL. What action
by the nurse is best?
a. Assess the ordered antibiotics for ototoxicity.
b. Explain how kidney damage causes hearing loss.
c. Use ibuprofen (Motrin) for pain control.
d. Teach that hearing loss is temporary.
A
Some medications are known to be ototoxic. Diminished kidney
function slows the excretion of drugs from the body, worsening
the ototoxic effects. The nurse should assess the antibiotics the
client is receiving for ototoxicity. The other options are not
warranted.
A nurse is teaching a community group about preventing
hearing loss. What instruction is best?
a. Always wear a bicycle helmet.
b. Avoid swimming in ponds or lakes.
c. Dont go to fireworks displays.
d. Use a soft cotton swab to clean ears.
A
Avoiding head trauma is a practical way to help prevent hearing
loss. Swimming can lead to hearing loss if the client has
repeated infections. Fireworks displays are loud, but usually
brief and only occasional. Nothing smaller than the clients
fingertip should be placed in the ear canal.
,A client has severe tinnitus that cannot be treated adequately.
What action by the nurse is best?
a. Advise the client to take antianxiety medication.
b. Educate the client on nerve cutting procedures.
c. Refer the client to online or local support groups.
d. Teach the client side effects of furosemide (Lasix).
C
If the clients tinnitus cannot be treated, he or she will have to
learn to cope with it. Referring the client to tinnitus support
groups can be helpful. The other options are not warranted.
A client has labyrinthitis and is prescribed antibiotics. What
instruction by the nurse is most important for this client?
a. Immediately report headache or stiff neck.
b. Keep all follow-up appointments.
c. Take the antibiotics with a full glass of water.
d. Take the antibiotic on an empty stomach.
A
Meningitis is a complication of labyrinthitis. The client should
be taught to take all antibiotics as prescribed and to report
manifestations of meningitis such as fever, headache, or stiff
neck. Keeping follow-up appointments is important for all
clients. Without knowing what antibiotic was prescribed, the
nurse cannot instruct the client on how to take it.
A client with Mnires disease is in the hospital when the client
has an attack of this disorder. What action by the nurse takes
, priority?
a. Assess vital signs every 15 minutes.
b. Dim or turn off lights in the clients room.
c. Place the client in bed with the upper siderails up.
d. Provide a cool, wet cloth for the clients face.
C
Clients with Mnires disease can have vertigo so severe that they
can fall. The nurse should assist the client into bed and put the
siderails up to keep the client from falling out of bed due to the
intense whirling feeling. The other actions are not warranted for
clients with Mnires disease.
A client is scheduled to have a tumor of the middle ear removed.
What teaching topic is most important for the nurse to cover?
a. Expecting hearing loss in the affected ear
b. Managing postoperative pain
c. Maintaining NPO status prior to surgery
d. Understanding which medications are allowed the day of
surgery
A
Removal of an inner ear tumor will likely destroy hearing in the
affected ear. The other teaching topics are appropriate for any
surgical client.
A nursing student studying the auditory system learns about the
structures of the inner ear. What structures does this include?
(Select all that apply.)
Complete Solutions
A nursing student is instructed to remove a clients ear packing
and instill eardrops. What action by the student requires
intervention by the registered nurse?
a. Assessing the eardrum with an otoscope
b. Inserting a cotton ball in the ear after the drops
c. Warming the eardrops in water for 5 minutes
d. Washing the hands and removing the packing
D
The student should wash his or her hands, don gloves, and then
remove the packing. The other actions are correct.
A nurse is irrigating a clients ear when the client becomes
nauseated. What action by the nurse is most appropriate for
client comfort?
a. Have the client tilt the head back.
b. Re-position the client on the other side.
c. Slow the rate of the irrigation.
d. Stop the irrigation immediately.
D
During ear irrigation, if the client becomes nauseated, stop the
procedure. The other options are not helpful.
,A client hospitalized for a wound infection has a blood urea
nitrogen of 45 mg/dL and creatinine of 4.2 mg/dL. What action
by the nurse is best?
a. Assess the ordered antibiotics for ototoxicity.
b. Explain how kidney damage causes hearing loss.
c. Use ibuprofen (Motrin) for pain control.
d. Teach that hearing loss is temporary.
A
Some medications are known to be ototoxic. Diminished kidney
function slows the excretion of drugs from the body, worsening
the ototoxic effects. The nurse should assess the antibiotics the
client is receiving for ototoxicity. The other options are not
warranted.
A nurse is teaching a community group about preventing
hearing loss. What instruction is best?
a. Always wear a bicycle helmet.
b. Avoid swimming in ponds or lakes.
c. Dont go to fireworks displays.
d. Use a soft cotton swab to clean ears.
A
Avoiding head trauma is a practical way to help prevent hearing
loss. Swimming can lead to hearing loss if the client has
repeated infections. Fireworks displays are loud, but usually
brief and only occasional. Nothing smaller than the clients
fingertip should be placed in the ear canal.
,A client has severe tinnitus that cannot be treated adequately.
What action by the nurse is best?
a. Advise the client to take antianxiety medication.
b. Educate the client on nerve cutting procedures.
c. Refer the client to online or local support groups.
d. Teach the client side effects of furosemide (Lasix).
C
If the clients tinnitus cannot be treated, he or she will have to
learn to cope with it. Referring the client to tinnitus support
groups can be helpful. The other options are not warranted.
A client has labyrinthitis and is prescribed antibiotics. What
instruction by the nurse is most important for this client?
a. Immediately report headache or stiff neck.
b. Keep all follow-up appointments.
c. Take the antibiotics with a full glass of water.
d. Take the antibiotic on an empty stomach.
A
Meningitis is a complication of labyrinthitis. The client should
be taught to take all antibiotics as prescribed and to report
manifestations of meningitis such as fever, headache, or stiff
neck. Keeping follow-up appointments is important for all
clients. Without knowing what antibiotic was prescribed, the
nurse cannot instruct the client on how to take it.
A client with Mnires disease is in the hospital when the client
has an attack of this disorder. What action by the nurse takes
, priority?
a. Assess vital signs every 15 minutes.
b. Dim or turn off lights in the clients room.
c. Place the client in bed with the upper siderails up.
d. Provide a cool, wet cloth for the clients face.
C
Clients with Mnires disease can have vertigo so severe that they
can fall. The nurse should assist the client into bed and put the
siderails up to keep the client from falling out of bed due to the
intense whirling feeling. The other actions are not warranted for
clients with Mnires disease.
A client is scheduled to have a tumor of the middle ear removed.
What teaching topic is most important for the nurse to cover?
a. Expecting hearing loss in the affected ear
b. Managing postoperative pain
c. Maintaining NPO status prior to surgery
d. Understanding which medications are allowed the day of
surgery
A
Removal of an inner ear tumor will likely destroy hearing in the
affected ear. The other teaching topics are appropriate for any
surgical client.
A nursing student studying the auditory system learns about the
structures of the inner ear. What structures does this include?
(Select all that apply.)
