Which surgical procedure would the nurse identify as involving an incision in the tympanum to release the increased pressure and exudate from the middle ear?
myringotomy
Based on the documentation below, which diagnostic hearing test was performed for a patient with hearing loss?
Rinne test
Which technique would the nurse use when assessing an adult patient’s external ear canal and tympanum?
C) Gently pull the auricle up and backward to straighten the canal.
Rationale: When examining a patient’s external ear canal and tympanum, ask the patient to tilt the head toward the opposite shoulder. Grasp and gently pull the auricle up and backward to straighten the canal. A healthy, normal tympanic membrane will appear pearl gray, white, or pink and have a cone-shaped light reflex.
A patient tells a nurse, “I take an aspirin every two days because I’m always getting headaches.” Which earn abnormality would the nurse expect?
Tinnitus
Which hearing aid would the nurse identify as the most powerful available for the use by patients with hearing loss?
Behind the ear
A patient is found to have acoustic neuromas. Which diagnostic test would the nurse prepare for the patient to aid in assessment?
d.) Auditory brainstem response
An acoustic neuroma is a tumor that develops in the nerve of the inner ear. Auditory brainstem response is the diagnostic test used to assess the inner pathway of the ear or detect tumors in the inner ear
Based on the documentation below, which diagnostic hearing was performed for a patient with hearing loss?
Audiometry
The nurse would identify which decibel loss as a moderately severe hearing impairment?
60
A decibel loss in the range of 56 to 70 dB indicates moderately severe hearing impairment.
The nurse is assessing a patient’s ears. Which normal findings would the nurse document? Select all that apply.
– TM that is pearly gray, shiny, and translucent
– The handle of the malleus and its short process are visible through the TM.
The TM is normally pearl gray, white, or pink, shiny, and translucent. The handle (manubrium) of the malleus and its short process (umbo) should be visible through the membrane. The TM is a concave or dome shape normally. Hairline fluid level is indicative of serous otitis media. If the TM is bulging or retracted, the edges of the light reflex will be fuzzy (diffuse) and may spread over the TM.
A patient tells the nurse, “I always need my fan on while I’m sleeping.” Which ear abnormality may be indicated?
Tinnitus
Patients with chronic tinnitus often use a fan, radio or television, or some other source of background noise to drown out the tinnitus and help achieve peaceful sleep.
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