A nurse collecting data from a client who has Meniere's disease? Which of the following is an expected finding for this client?
Gradual hearing loss
Retracted eardrum
Bilateral ear pain
Impacted cerumen
The Correct Answer is A
a) Gradual hearing loss: Meniere's disease is characterized by progressive hearing loss due to fluid buildup in the inner ear, which affects hearing.
b) Retracted eardrum: This is typically seen in conditions like otitis media, not Meniere's disease, which involves the inner ear.
c) Bilateral ear pain: Meniere's disease usually causes vertigo and hearing loss rather than pain, and it often affects one ear more than both.
d) Impacted cerumen: Impacted cerumen is not associated with Meniere's disease. It is a separate issue related to earwax buildup.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a) Take the client's temperature: This action is important but not the first priority. The nurse should first assess the nature of the drainage to determine whether it is cerebrospinal fluid (CSF).
b) Place a dressing under the client's nose: This action is also important to manage the drainage but does not address the need to determine the source of the drainage.
c) Test the drainage for glucose: The presence of glucose in the drainage is a key indicator that it is CSF. CSF typically contains glucose, and this test will help confirm whether the drainage is cerebrospinal fluid, which could indicate a serious complication like a CSF leak from a basal skull fracture.
d) Notify the charge nurse: While notifying the charge nurse is important, the first action is to test the drainage for glucose to determine its nature and assess the potential risks.
Correct Answer is D
Explanation
a) Sensorineural hearing loss: Stapedectomy is not typically used to treat sensorineural hearing loss, which involves the inner ear or auditory nerve.
b) Otitis media: Stapedectomy is not indicated for otitis media, which is an infection of the middle ear.
c) Meniere disease: Stapedectomy is not used to treat Meniere's disease, a condition characterized by fluid buildup in the inner ear.
d) Otosclerosis: Stapedectomy is performed to treat otosclerosis, a condition where abnormal bone growth around the stapes bone impairs sound conduction.
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