Which finding in the client's history will alert the nurse to the most likely cause of the sensorineural hearing loss?

History of frequent earwax impaction

History of seasonal allergies and sinus infections

History of working in a factory with loud machinery

History of recurrent otitis media with tympanic membrane scarring

Answer and Explanation

The Correct Answer is C

Sensorineural hearing loss results from permanent damage to the cochlear hair cells or the vestibulocochlear nerve pathways. Chronic exposure to high-intensity sound waves induces metabolic exhaustion and mechanical strain, leading to the apoptosis of the organ of Corti. This irreversible condition disrupts the transduction of mechanical vibrations into electrical neural impulses.

Rationale:

A. Earwax impaction causes conductive hearing loss by physically obstructing the external auditory canal. It prevents sound waves from reaching the tympanic membrane but does not damage the inner ear. This is a reversible condition and is not classified as a sensorineural pathology.

B. Seasonal allergies and sinus infections typically lead to Eustachian tube dysfunction and fluid accumulation in the middle ear. This results in conductive impairment due to inhibited ossicle vibration. These inflammatory processes do not typically affect the neurosensory components of the auditory system located within the bony labyrinth.

C. Prolonged exposure to occupational noise is the leading cause of acquired sensorineural deficits. High decibel levels cause oxidative stress and structural shearing of the delicate stereocilia. This finding is the most significant risk factor for permanent damage to the sensory receptors of the inner ear.

D. Recurrent otitis media and tympanic scarring, or tympanosclerosis, interfere with the mechanical transmission of sound through the middle ear. These issues cause conductive loss by reducing the compliance of the eardrum. They are structural issues of the conducting apparatus rather than the neural processing units of the ear.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

Chronic allergic rhinitis produces nasal, polyps, benign edematous overgrowths of respiratory mucosa caused by persistent allergic, inflammation, eosinophilic infiltration, impaired drainage, and mucosal edema within nasal passages state present clinically

Rationale:

A. Trauma, septum perforation involves full-thickness nasal septal defect between nasal cavities. Common causes include cocaine abuse, nasal surgery, and chronic irritation. Findings epistaxis, crusting, and whistling airflow through septum. It is not allergic mucosal overgrowth and is not nasal polyps.

B. Sinusitis, infection is chronic paranasal sinus mucosal inflammation with obstruction and impaired drainage. Causes include viral bacterial allergic inflammation affecting sinus ostia. Symptoms include facial pain purulent discharge nasal congestion. Not characterized by polypoid mucosal overgrowth in allergic disease process.

C. Cyclic, hormonal breast tenderness is benign mastalgia linked to menstrual cycle hormonal fluctuations. Caused by estrogen and progesterone variation. Symptoms bilateral breast pain swelling premenstrual phase. It is physiologic and resolves with menses and does not require diagnostic evaluation typically.

D. Bloody, carcinoma nipple discharge suggests intraductal pathology involving ductal epithelial proliferation or malignancy. Common causes include intraductal papilloma and breast cancer. May present with unilateral spontaneous discharge. This finding is abnormal and always requires urgent diagnostic imaging and evaluation follow-up.

A. Cerumen impaction B. Presbycusis C. Sensorineural hearing loss D. Conductive hearing loss E. Foreign body obstruction

Correct Answer is ["D","E"]

Explanation

Pediatric unilateral hearing reduction commonly results from external auditory canal obstruction leading to impaired sound wave transmission to the tympanic membrane, producing conductive hearing loss due to mechanical blockage rather than cochlear or neural dysfunction processes.

Rationale:

A. Cerumen impaction involves accumulation of hardened earwax obstructing the external auditory canal. It can reduce hearing but does not specifically describe a visible bright green object. This condition is common but does not confirm foreign material presence. Therefore it is not the best match here.

B. Presbycusis is age-related degenerative hearing loss affecting elderly patients due to cochlear hair cell degeneration. It does not occur in kindergarten-aged children. It is a bilateral progressive sensorineural process unrelated to acute unilateral obstruction or visible foreign object in ear canal.

C. Sensorineural hearing loss results from cochlear or vestibulocochlear nerve damage affecting sound processing. It is not caused by visible external objects in the ear canal. There is no mechanical obstruction visible on inspection. Therefore it does not match the clinical finding described.

D. Conductive hearing loss occurs when sound transmission is blocked in external or middle ear structures. A visible foreign object obstructing the canal directly prevents sound conduction. This produces unilateral hearing loss consistent with reported symptoms in pediatric patients.

E. Foreign body obstruction is presence of external object in ear canal causing mechanical blockage. Bright green object strongly indicates inserted material such as toy fragment. This leads to acute unilateral hearing loss and is common in children due to exploratory behavior.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which finding in the client's history will alert the nurse to the most likely cause of the sensorineural hearing loss?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patients with chronic allergies may have small, pale, round, firm overgrowths on the nasal mucosa. Which term should be used to describe this physical assessment finding?

Correct Answer is C

Explanation

The kindergarten student tells the school nurse that she can't hear out of her left ear. The nurse inspects the ear canal and sees a bright green object. Which condition does the nurse suspect? Select all that apply.

Correct Answer is ["D","E"]

Explanation

The nurse is assessing the vital signs of a 20-year-old marathon runner patient and documents the following vital signs: temperature-97 F; pulse-50 beats per minute; respirations-14/minute; blood pressure-96/68 mm Hg. Which of the following statements is true about these results?

During an assessment, the nurse notes a trachea that is deviated to the client's left side. Which condition is the most critical for the nurse to suspect and prioritize intervention for?

A nurse is receiving bedside shift report on four assigned patients. Using clinical judgment and priority-setting principles, which patient requires the nurse to assess first?

The nurse teaches a patient to perform a breast self-exam (BSE). Which finding does NOT need a follow-up with the patients' health care provider?

When examining the eye, where will the nurse most likely find signs of liver disease?

The patient is standing 10 feet from the eye chart but can only read what a person with normal vision could see from 200 feet away. What does the nurse document about the patient's vision?

A client diagnosed with myxedema reports having experienced a lack of energy, cold intolerance, and puffiness around the eyes and face. Based on the patient's presentation, which of the following hormones is the patient most likely deficient in? Select all that apply.