The mother of a 2-year-old toddler is concerned about the upcoming placement of tympanostomy tubes in her son's ears. The nurse would include which of these statements in the teaching plan?
The purpose of the tubes is to decrease the pressure and allow for drainage.
The tubes are permanently inserted during a surgical procedure.
The tubes are placed in the inner ear.
The tubes are used in children with sensorineural loss.
The Correct Answer is A
A. The purpose of the tubes is to decrease the pressure and allow for drainage: Tympanostomy tubes are placed in the tympanic membrane to facilitate drainage of middle ear fluid and equalize pressure. They help prevent recurrent otitis media and improve hearing in children prone to persistent effusions. The tubes create a temporary opening that allows air to enter the middle ear, reducing the risk of fluid accumulation and infection.
B. The tubes are permanently inserted during a surgical procedure: Tympanostomy tubes are not permanent; they usually fall out on their own within 6 to 12 months as the tympanic membrane heals. In some cases, if they do not extrude naturally, they may need to be removed by an ear, nose, and throat (ENT) specialist. Permanent tubes are rarely used and only in cases of severe chronic ear problems.
C. The tubes are placed in the inner ear: Tympanostomy tubes are inserted into the tympanic membrane (eardrum), which separates the outer ear from the middle ear. They do not enter the inner ear, which contains the cochlea and vestibular system. Placement in the inner ear would not be anatomically correct and could lead to serious complications.
D. The tubes are used in children with sensorineural loss: Tympanostomy tubes are not a treatment for sensorineural hearing loss, which results from damage to the inner ear or auditory nerve. They are used for conductive hearing issues caused by middle ear effusion, recurrent ear infections, or Eustachian tube dysfunction. Sensorineural hearing loss is typically managed with hearing aids or cochlear implants, not tympanostomy tubes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. XI: Cranial nerve XI, also known as the accessory nerve, is responsible for innervating the sternocleidomastoid and trapezius muscles, which are involved in shoulder and head movement. It does not play a role in tongue movement.
B. V: Cranial nerve V, the trigeminal nerve, is responsible for sensation in the face and motor functions such as biting and chewing. While it is important for overall oral sensation, it does not control tongue movement.
C. XII: Cranial nerve XII, the hypoglossal nerve, is responsible for motor control of the tongue muscles. When the patient sticks out their tongue, the nurse can assess the function of this nerve by observing the tongue's position, movement, and any signs of weakness or atrophy, which can indicate nerve damage.
D. VII: Cranial nerve VII, the facial nerve, is responsible for the muscles of facial expression and taste sensations from the anterior two-thirds of the tongue. Although it contributes to some oral functions, it is not directly involved in the movement of the tongue itself.
Correct Answer is D
Explanation
A. Aorta- right atrium-right ventricle-lungs-pulmonary vein→ left atrium→ left ventricle→ vena cava: This sequence is incorrect because blood does not flow from the aorta to the right atrium; rather, the aorta carries oxygenated blood from the left ventricle to the body. The vena cava brings deoxygenated blood into the right atrium.
B. Vena cava-right atrium-right ventricle-lungs-pulmonary artery-left atrium-left ventricle: This sequence is incorrect because the blood does not flow from the lungs directly into the left atrium via the pulmonary artery; instead, blood from the lungs returns to the left atrium via the pulmonary veins.
C. Right atrium → right ventricle → pulmonary vein → lungs → pulmonary artery → left atrium → left ventricle: This sequence is incorrect because the pulmonary veins carry oxygenated blood from the lungs to the left atrium, not to the right ventricle.
D. Right atrium → right ventricle → pulmonary artery → lungs → pulmonary vein → left atrium → left ventricle: This is the correct sequence of blood flow through the heart. Blood flows from the right atrium to the right ventricle, then to the pulmonary artery, which carries it to the lungs for oxygenation. After oxygenation, blood returns to the left atrium via the pulmonary veins and then flows into the left ventricle before being pumped out to the body through the aorta.
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