A nurse is caring for four clients.
Which of the following clients should the nurse identify as at risk for inner ear inflammation?
A client who has tested positive for Helicobacter pylori.
A client who has a viral respiratory infection.
A client who has a tumor pressing on the pituitary gland.
A client who is taking ampicillin.
The Correct Answer is B
Choice A rationale
Helicobacter pylori infection is associated with gastrointestinal conditions like peptic ulcers and gastritis, not with inner ear inflammation.
Choice B rationale
Viral respiratory infections can spread to the middle ear through the Eustachian tube, potentially leading to inflammation and infection of the inner ear (otitis media).
Choice C rationale
A tumor pressing on the pituitary gland can cause hormonal imbalances but is not directly related to inner ear inflammation.
Choice D rationale
Ampicillin, an antibiotic, is used to treat bacterial infections but does not inherently increase the risk of inner ear inflammation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B rationale
Dimming the lighting in the client's room helps reduce photophobia and headaches, which are common symptoms in viral meningitis.
Choice A rationale
Monitoring temperature every 6 hours is not as frequent as needed. Frequent monitoring is crucial due to the risk of rapid changes in condition.
Choice C rationale
Contact precautions are not necessary for viral meningitis, as it is not as contagious as bacterial meningitis. Standard precautions are generally sufficient.
Choice D rationale
Measuring intake and output every 8 hours is standard, but it is not specific to the needs of a viral meningitis patient like controlling environmental stimuli.
Correct Answer is B
Explanation
Choice A rationale
Exercise can increase pressure in the middle ear and should be avoided until cleared by a healthcare provider. Engaging in physical activities too soon can impair the healing process after tympanoplasty.
Choice B rationale
Closing the mouth while sneezing reduces the risk of pressure changes in the middle ear, which could disrupt the surgical repair. The client should also avoid actions that can increase ear pressure, such as blowing their nose forcefully.
Choice C rationale
Shampooing hair can introduce water into the ear, potentially causing infection or damage to the surgical site. The client should follow the healthcare provider’s instructions regarding when it is safe to resume washing their hair.
Choice D rationale
Drinking through a straw creates negative pressure that can affect the middle ear and the healing process. The client should avoid using straws and other activities that create pressure changes in the ear.
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