Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Module 4 (MedSurg 2) > Sensory - Auditory > Flashcards

Sensory - Auditory Flashcards

1
Q

Sensory Perception

A

the ability to receive sensory input and translate the stimulus/data into meaningful information

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Why is sensory perception important in nursing care?

A

understand what you are asking and listening to them
Safety environment such as streets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the 12 cranial nerves in order?

A

Olfactory
Optic
Oculomotor
Trochlear**
Trigeminal
Abducens**
Facial**
Auditory (vestibulocochlear)
Glossopharyngeal
Vagus
Accessory
Hypoglossal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Cranial Nerve Function
OLFACTORY

A

smell (not usually tested)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Cranial Nerve Function
OPTIC**

A

Visual acuity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Cranial Nerve Function
OCULOMOTOR**

A

Opening of eyelids, eye mvmt (upward/medial, upward/lateral, medial, downward/lateral)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Cranial Nerve Function
TROCHLEAR**

A

eye mvmt (downward/medial)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Cranial Nerve Function
TRIGEMINAL

A

facial sensation, chewing mvmts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Cranial Nerve Function
ABDUCENS**

A

eye mvmt (lateral)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Cranial Nerve Function
FACIAL**

A

facial muscles mvmt (except chewing muscles) and eyelid closing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Cranial Nerve Function
AUDITORY (VESTIBULOCOCHLEAR)

A

hearing and balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Cranial Nerve Function
GLOSSPHARYNGEAL

A

taste on the posterior 3rd of the tongue (not usually tested)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Cranial Nerve Function
VAGUS

A

Uvula (palate muscles) and swallowing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Cranial Nerve Function
ACCESSORY

A

shoulder shrug

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Cranial Nerve Function
HYPOGLOSSAL

A

tongue mvmt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

If you have mild hearing loss, you may not be able to hear

A

birdsongs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

If you have moderate to severe hearing loss, you may not be able to hear

A

Conversation (moderate)
Phone (more severe)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

If you have profound hearing loss, you may not be able to hear

A

cars and planes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What technique would you use when educating a pt with withdrawn hearing loss?

A

Teach Back “repeat back what I said?”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Hearing Loss
BROAD S/S

A

Ineffective communication leads to
decrease interaction
-withdraw (only nods and smiles)
-suspicion (who are you? - no nurse-pt relationship)
-loss of self-esteem (no autonomy)
-insecurity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

If a hearing loss pt is suspicious of you, what way of communicating is effective?

A

writing and drawing
ALS if possible
ask family to stay

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Conductive hearing loss occurs causes damage to what parts of the ear?

A

outer and middle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Sensoriurineal hearing loss occurs causes damage to what parts of the ear?

A

inner ear (nerve pathways)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Sensorineural hearing loss is damage to what cranial nerve?

A

8 vestibulocochlear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Mixed hearing loss occurs causes damage to what parts of the ear?

A

outer and middle ear
ALSO inner ear damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Otoscope

A

shines light to visualize and examine the condition of the ear canal and drum
-shows causes of symptoms (ache, full, or hearing loss)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

How do you assess for hearing loss?

A

Otoscope
weber’s
Rinne’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Weber’s test process

A

Strike a tuning fork and place on the forehead an equal distance between both ears
- Assess the hearing difference and which one is weaker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Weber’s test Results
Equal sounds in Both Ears

A

Normal hearing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Weber’s test Results
Sound is heard best in the abnormal ear

A

Conductive loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Weber’s test Results
Sound will be heard best in the normal ear

A

Sensorineural

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Rinne’s test

A
  • differentiates sound transmission via air conduction or bone conduction
    -done with Weber for sensorineural hearing loss
  • Quick test for conductive hearing loss
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Rinne’s test Results
bone >/= air conduction

A

Conductive hearing loss on that side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Rinne’s test Results
air >/= bone conduction

A

Normal hearing

35
Q

What do you assess for on a auditory impaired pt?

A

tinnitus (ringing ears)
vertigo (spins while still)

36
Q

If you have vertigo, what precaution needs to be taken?

A

high fall risk
- slow rise, someone in the room every time they get up, fall bundle
PT work with them, patience, bed alarm

37
Q

Otitis media w/ effusion

A

fluid or inflammation in the ear
peds more than adults

38
Q

Poor Eustachian tube function

A

No draining of fluid for balance

39
Q

Cerumen

A

earwax

40
Q

What is a serious adverse reaction of tinnitus?

A

Suicide idealization
and attempts
leads to conductive hearing loss

41
Q

Vertigo precautions

A

high fall risk

42
Q

Vertigo can happen due to which diseases?

A
43
Q

Conductive hearing loss reasons

A

Otitis media w/ effusion (fluid or inflammation in the ear)
Poor Eustachian tube function (no draining of fluid for balance)
impacted cerumen - earwax
tumors/objects present
middle ear disease
otosclerosis

Something is blocking the path of sound from entering the ear drum

44
Q

Middle ear disease

A

Chronic otitis media (inflammation of the ear of the middle ear leading to a build-up of fluid behind the eardrum)

45
Q

What is the proper way to educate pts on cleaning their ears?

A

put hydrogen peroxide in their ears
-not QTips-

46
Q

Otosclerosis

A

genetic problem preventing sounds from being transmitted due to bony overgrowth of tissue

47
Q

Patients actually hear better in noisy environments

A

Bone is better than air conduction
Conductive Hearing loss

48
Q

Conductive hearing loss tx

A

underlying cause
recommend hearing aid

49
Q

Conductive patients hear better with

A

bone than air conduction
noisy environments

50
Q

What is the most common type of permanent hearing loss?

A

Sensorineural

51
Q

Can medicine and surgery fix sensorineural hearing loss?

A

no

52
Q

Sensorineural hearing loss is caused by

A

illness
genetic (cranial nerve damage)
loud noise - occupational (MRI, planes)
- earplugs
ototoxicity permanent hearing loss through meds
aging – presbycusis

53
Q

What 6 drugs and classes cause sensorineural?

A

Vancomycin - antibiotic IV
Gentamycin - antibiotic IV
Cisplatin - CA med
Furosemide - loop diuretic
Quinine - malaria
Aspirin - fever reducer

54
Q

What should you tell the pt when giving them Vancomycin and Gentamycin through IV?

A

Notify me immediately to stop the infusion if you are experiencing ringing in your ears
- Better to catch it early than for hearing loss to be permanent

55
Q

Presbycusis means

A

Elderly hearing loss

56
Q

Presbycusis can cause

A

sensorineural loss

57
Q

Presbycusis leads to =

A
  • degeneration atrophy of the ganglion cells in the cochlea
  • compromised vascular supply of the inner ear
58
Q

What is the most common type of permanent hearing loss?

A

Sensorineural

59
Q

Can surgery and medicine fix sensorineural hearing loss?

A

NO

60
Q

Meniere’s syndrome S/S

A

tinnitus
fluctuating hearing loss (unilateral sensorineural hearing loss)
vertigo

61
Q

How long does Meniere’s s/s last

A

hours to days

62
Q

Can Meniere’s cause permanent hearing loss?

A

Yes over time
if attacks are frequent enough
- and gets lengthier over time

63
Q

Meniere’s syndrome assessment

A

feelings of fullness in the ear
tinnitus
vertigo
N/V
nystagmus
severe HA

64
Q

Nystagmus

A

eye vibrating back and forth

65
Q

Meniere’s syndrome is

A

dilation of the endolymphatic system by overproduction or decreased reabsorption of the endolymphatic fluid

66
Q

Meniere’s syndrome interventions

A

Prevent injury due to vertigo
Fall Bundle
Bed rest
Quiet environment
assist with ambulation - PT vestibular rehab
Move head slowly - not sharp
Na and fluid restriction
stop smoking
Avoid watching TV with flickering lights
control N/V
Mild diuretics for fluid volume

67
Q

Meniere’s syndrome surgical interventions

A

Drill out bone and leave shunt to balance fluid
Drill around the bone and insert a clip
Most severe = cut Nerve #8

68
Q

Meniere’s syndrome post-op interventions

A

packing and dressings on ear
speak on the unaffected side
pt safety
Perform neuro examinations
assist with ambulation
bedside commode
antivertigo and antiemetic meds as prescribed

69
Q

Nursing Care for Hearing loss

A

asess = early detection
difference btw sensorineural and conductive hearing loss - for tx
Safety measures = educate and teach back if unable tell caregiver discharge plan
Dietary = nutrition and hydration
Medication = when to continue
Surgery = hearing aides (clean and change) - DOCUMENT
Community resources = Case Mgrs
Communication tech LOW AND SLOW
Do not yell

70
Q
  1. What is Cranial nerve #8 responsible for?
A

a. Auditory (vestibulocochlear) is responsible for balance and hearing.

71
Q
  1. What clinical manifestations are associated with hearing loss?
A

a. Ineffective communication, Decreased interaction, withdrawal, suspicion, loss of self-esteem and insecurity.

72
Q
  1. How do you check if a patient with hearing loss understood what you were communication to them?
A

a. Have the patient teach back. Also, have a family/friend at bedside to also get education.

73
Q
  1. What part of the ear is affected if the patient has conductive hearing loss?
A

a. Outer and middle ear

74
Q
  1. What part of the ear is affected if the patient has sensorineural hearing loss?
A

a. Inner ear damage (nerve pathways)

75
Q
  1. What are two of the priority symptoms that we are assessing for with hearing loss that is caused by compression of cranial nerve #8?
A

a. Tinnitus and vertigo

76
Q
  1. What is tinnitus and what is your priority assessment for the patient suffering with tinnitus?
A

a. Ringing of the ears can cause suicidal ideation.

77
Q
  1. What is Vertigo and what is your priority assessment for the patient suffering with vertigo?
A

a. Room is spinning while the patient is still. Patient is a high fall risk.

78
Q
  1. What are the some of the causes of Conductive hearing loss?
A

a. Otitis media with effusion, poor eustachian tube function, impacted cerumen, tumors, objects present, middle ear disease, otosclerosis

79
Q
  1. What are some of the causes of Sensorineural hearing loss?
A

a. Illness, genetics, loud noises, ototoxicity, and aging

80
Q
  1. What medications cause ototoxicity in sensorineural hearing loss?
A

a. 1. Vancomycin 2. Gentamycin 3. Cisplatin 4. Aspirin 5. Furosemide 6. Quinine

81
Q
  1. True or false: Sensorineural is permanent hearing loss that cannot be fixed by surgery or medicine?
A

true

82
Q
  1. What is Meniere’s disease?
A

a. Refers to the dilation of the endolymphatic system by overproduction or decrease reabsorption of endolymphatic fluid. (Basically, too much fluid causing pressure on cranial nerve #8.

83
Q
  1. What treatments can be done for a patient with Meniere’s disease?
A

a. Mild diuretics, vestibular rehabilitation, surgery.

84
Q
  1. What communication technique is the most effective for a patient with hearing loss?
A

a. Talk Low and Slow. Can also use written instructions for patient.

Module 4 (MedSurg 2) (36 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions