Chapter 41- ears Flashcards

1
Q

The nurse is aware that which of the following is a likely precursor to the development of otitis media in adults?

A

dental caries-This is among the causes of otitis media in adults.

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2
Q

Which of the following ototopical antibiotics is commonly used in the treatment of otitis media?

A

ciprofloxacin- This is a common ototopical antibiotic used to treat otitis media in adults.

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3
Q

A nurse has otitis media (OM) due to the use of an improperly cleaned stethoscope. Which of the following agents would be used in treatment?

A

pramoxine and benzocaine - This agent will decrease swelling, congestion, and pain associated with OM.

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4
Q

When administering eardrops to a child, the nurse should:

A

pull the pinna down and back.

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5
Q

When teaching parents about administration of otic medications at home, the nurse recognizes the parents understand the teaching when they remark:

A

“We should warm the medication to body temperature prior to administration.”

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6
Q

When caring for a child with an upper respiratory infection, the nurse should:

A

inspect the structures in the middle ear.

Upper respiratory infections are a common cause of otitis media in children.

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7
Q

The nurse understands that otitis media is the most common cause of:

A

conductive hearing loss in children.- Otitis media is the most common cause of conductive hearing loss in children.

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8
Q

A client asks the nurse if there is a medication he can use for wax buildup in his ear. The nurse’s best response is:

A

“Carbamide peroxide will treat this, and you can buy it over the counter.”

This addresses the client’s question and provides information about the agent for him to use.

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9
Q

A client is prescribed otic 1% hydrocortisone drops in addition to ofloxacin drops. The nurse would explain that the 1% hydrocortisone drops are used to:

A

decrease inflammation

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10
Q

Before administering an otic antibiotic, the nurse should:

A

position the client on the unaffected side.

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11
Q

Ceruminous glands secrete cerumen, which:

A

is a wax substance.

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12
Q

Which of the following structures separates the middle and inner ear?

A

stapes

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13
Q

The nurse recruit would be correct in stating that oral amoxicillin is in which classification of medications?

A

antimicrobial

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14
Q

Which of the following statements by the nurse recruit indicates a need for further understanding about cerumen?

A

“Accumulation may block the conduction of sound through the outer ear.”

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15
Q

A client asks the nurse, “I have a prescription for Cerumenex. What is the purpose of this medication?” Which of the following would be a correct response by the nurse?

A

“Cerumenex is an emulsion used to dissolve and loosen earwax.”

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16
Q

Which of the following would NOT be a part of the nursing assessment prior to administering otic preparations?

A

baseline olfactory status

17
Q

In conjunction with analgesic medications, which of the following actions by the nurse will help provide additional comfort until the ear pain subsides?

A

place warm, clean cloth over the affected ear

18
Q

Which of the following are the correct instructions that should be given to the caregiver of a child with otitis media who is receiving Augmentin?

A

A follow-up appointment should be made for 2 weeks after the beginning of the treatment.

19
Q

Which of the following statements are true of ototopical antibiotics?

A

They can cause local toxicity.

20
Q

Instillation of cold otic agents can cause which of the following? Select all that apply.

A

a. dizziness

b. headache