When planning care for a client with an inner ear infection, the nurse will need to include interventions for which of the following potential problems?

Vertigo

Rhinorrhea

Fever

Headache

Answer and Explanation

The Correct Answer is A

Choice A Reason:
Vertigo is a common complication associated with inner ear infections, such as labyrinthitis or vestibular neuritis. The inner ear is responsible for balance, and when it is infected, it can lead to a sensation of spinning or dizziness. Interventions may include medications like meclizine or dimenhydrinate to alleviate symptoms, as well as safety measures to prevent falls.

Choice B Reason:
Rhinorrhea, or a runny nose, is not typically a direct complication of an inner ear infection. It may be associated with upper respiratory infections that can precede or accompany an ear infection but is not a result of the inner ear infection itself.

Choice C Reason:
Fever may be present if the inner ear infection is part of a systemic infection, such as the flu or bacterial meningitis. However, fever is not a direct result of an isolated inner ear infection. If fever is present, the nurse should monitor the patient's temperature and may administer antipyretics as ordered.

Choice D Reason:
Headache can be a symptom experienced by individuals with inner ear infections due to the general discomfort and pressure changes in the ear. However, it is not as specific or as common as vertigo when it comes to inner ear infections. If headaches are present, pain management strategies can be included in the care plan.

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Correct Answer is C

Explanation

Choice a reason:
The left temporal bone would be the expected site of lateralization for sound in a Weber test if the patient had conductive hearing loss in the left ear. However, with unilateral sensorineural hearing loss, the sound typically lateralizes to the opposite ear, which is the ear with better hearing.
Choice b reason:
Lateralization to both ears equally during the Weber test would suggest either normal hearing or symmetrical hearing loss. In the case of unilateral sensorineural hearing loss, the sound is not perceived as equal in both ears because the affected ear does not hear as well as the unaffected ear.
Choice c reason:
In a patient with unilateral sensorineural hearing loss in the left ear, the Weber test will lateralize to the right ear, which is the ear with normal hearing. This occurs because the inner ear on the affected side is not able to transmit the sound as effectively as the unaffected side, making the sound seem louder in the ear with better hearing.
Choice d reason:
Lateralization to the left ear in the Weber test would indicate conductive hearing loss in the left ear, not sensorineural hearing loss. In sensorineural hearing loss, the sound vibrates to the ear with better cochlear function, which would be the right ear in this case.

A. Tympanic Membrane B. Ear lobe C. Cochlea D. Pinna

Correct Answer is A

Explanation

Choice a reason:
The tympanic membrane, also known as the eardrum, is a critical component of the middle ear. It is a thin membrane that separates the external ear from the middle ear and vibrates in response to sound waves. These vibrations are then transmitted to the ossicles within the middle ear, which amplify and carry the sound to the inner ear.

Choice b reason:
The ear lobe is part of the external ear, not the middle ear. It is composed of soft skin and fatty tissue and does not play a role in hearing. The ear lobe serves primarily as a site for body decoration such as earrings.

Choice c reason:
The cochlea is a structure located in the inner ear. It is a spiral-shaped organ that contains the organ of Corti, the sensory organ of hearing. The cochlea converts the mechanical vibrations from the middle ear into nerve impulses that are sent to the brain.

Choice d reason:
The pinna, or auricle, is the visible part of the external ear. It is made of cartilage and skin and functions to capture sound waves and direct them into the ear canal towards the tympanic membrane.

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When planning care for a client with an inner ear infection, the nurse will need to include interventions for which of the following potential problems?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is diagnosed with left ear unilateral sensorineural hearing loss. During the performance of the Weber test, the nurse expects lateralization of the sound/vibration to the:

Correct Answer is C

Explanation

During an assessment of the ear structures, the nurse would expect to identify which structure as part of the middle ear?

Correct Answer is A

Explanation

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