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Final Exam-Extra Material > Hearing Impairment > Flashcards

Hearing Impairment Flashcards

1
Q

What does hearing impairment affect?

A

The patients ability to communicate.

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2
Q

What are the types of hearing impairments?

A

Partial or total

Congenital or Acquired

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3
Q

What is conductive hearing loss?

A

Disruption in transmission of sound

Obstruction

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4
Q

Where does sensorineural hearing loss affect?

A

Inner ears and auditory nerve pathway

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5
Q

What causes sensorineural hearing loss?

A 
Noise exposure
Ototoxic drugs 
Tumors 
Vascular disorders
Degenerative diseases
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6
Q

What causes prebyscusis hearing impairment?

A

Hair cells of cochlea degenerate with aging

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7
Q

What is effective with prebycusis hearing impairment?

A

Higher pitched tones and conversational speech lost initially.

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8
Q

What percentage of hearing loss in children is genetic?

A

50%

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9
Q

What percentage of environmental hearing loss around the time of birth?

A

25%

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10
Q

What the risk factors of hearing loss?

A

-Positive titer for TORCH infections
-Craniofacial abnormalities
-Very low birth weight
Bilirubin > 16 mg/dL
-Aminoglycoside med admin
-Low Apgar score at 1 or 5 minutes
-Bacterial meningitis
-Mechanical ventilation for over 5 days
-Syndromes associated with hearing loss

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11
Q

What are the warning signs of hearing impairment?

A

Inability to hear another individuals voice from 3 feet away, muffled sound perception, ear pain, ringing in ears

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12
Q

What can effect hearing damage?

A

Loudness of the noise and length of exposure

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13
Q

What are the clinical manifestations of conductive hearing loss?

A

Loss of hearing at all sound frequencies

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14
Q

What are the clinical manifestations of sensorineural hearing loss?

A

Loss of high-frequency tones

Speech discrimination difficult

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15
Q

What are the clinical manifestations of presbycusis hearing loss?

A

Gradual
Described as unsociable
Paranoid

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16
Q

What is tinnitus?

A

Perception of sound and noise without stimulus.

17
Q

What is tinnitus usually associated with?

A

Hearing loss

18
Q

What are the diagnostic test associated with hearing impairment?

A
  • Diagnosis of correct type of hearing loss
  • Whisper test
  • Otoscope examination
  • Tympanogram
  • Rinne and Weber tests
19
Q

What are the two types of surgery for hearing impairment?

A

Reconstructive surgeries of middle ear and cochlear implant

20
Q

What are the three types of reconstructive surgeries of the middle ear?

A

Stapedectomy
Tympanoplasty
Myringotomy

21
Q

What are the four types of cochlear implants?

A
  • Microphone, speech transmitter
  • Receive/stimulator, electrodes
  • Function similar to way ear normally processes
  • Provides sound perception, not normal hearing
22
Q

What type of pharmacologic therapy is used for hearing impairments from upper respiratory infections?

A

Decongestants

23
Q

What type of pharmacologic therapy is used for hearing impairment from sudden sensorineural hearing loss?

A

Steriods

24
Q

What type of pharmacologic therapy is used for hearing loss from otitis media?

A

Antibiotics

25
Q

True or False:

There are medications for permanent hearing loss.

A

False:

There are no medications for permanent hearing loss.

26
Q

What do hearing aids not do?

A

Prevent, minimize or treat hearing loss

27
Q

What are the six types of hearing aids?

A
  • Behind the ear
  • Receiver in canal
  • In the ear
  • In the canal
  • Completely in canal
  • Invisible in the canal
28
Q

Other than a hearing aid- what are the other types of amplification devices for hearing impairments?

A
  • Assistive listening device
  • White noise-making for clients with tinnitus
  • TTD/TTY telephones
  • Internet accessibility
29
Q

What additional therapies are used for patients with hearing loss other than amplification devices?

A
  • Lip reading
  • Singing
  • Cuing
  • Finger-spelling
30
Q

What should you consider in a partner with hearing impairments?

A
  • Type and extent of hearing loss
  • Client’s adaptation to loss
  • Availability of assistive hearing devices
  • Client’s ability and willingness to use assistive devices
31
Q

How should the nurse facilitate communication with a client who has hearing impairment?

A
  • Face client
  • Use low voice pitch
  • Use short sentences
  • Reduce environment noise before speaking
  • do NOT overarticulate
  • Use facial gestures
  • Rephrase and repeat info
  • Encourage socialization

Final Exam-Extra Material (7 decks)

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