Auditory

  1. Causes of hearing loss:
    External ear
    • Impacted cerumen
    • Foreign bodies
    • External otitis
  2. Causes of hearing loss:
    Middle ear
    • Otitis media
    • Otosclerosis
  3. Causes of hearing loss:
    Inner ear
    • Meniere's disease
    • Noise exposure
    • Presbycusis
    • Ototoxicity
  4. Ototoxic Medications:
    • Salicylates
    • NSAIDS
    • Antibiotics
    • Loop Diuretics
    • Chemotherapy
    • Antimalarials
  5. Ototoxic Medications: Salicylates
    Type:
    Aspirin (ASA)

    • (in high doses)
    • (normal dose: 3-5g)
  6. Ototoxic Medications: NSAIDS
    Types:
    • Motrin
    • Aleve
    • Naprosyn
  7. Ototoxic Medications: Antibiotics
    Types
    • Gentamycin
    • Vancomycin
  8. Ototoxic Medications: Loop Diuretics
    Type
    Furosemide (Lasix)

    (associated with IV push)
  9. Ototoxic Medications: Chemotherapy
    Type
    Cisplatin
  10. Ototoxic Medications: Antimalarials
    Type
    Quinine
  11. External Otitis
    Etiology:
    Risk Factors:
    S/S:
    Pseudomonas aeruginosa

    • Frequent swimming
    • Hot/humid weather

    • Pain
    • Drainage
  12. What is the common treatment for external otitis?
    Antibiotic ear drops
  13. Acute Otitis Media
    Etiology:
    Risk Factors:
    S/S:
    Treatment:
    • Strep. Pneumoniae
    • Hemophilus Influenzae

    • Bottle feeding
    • Smokers

    • Fever
    • Pus drainage

    Antibiotics (Amoxicillin)
  14. Otosclerosis
    Etiology:
    Risk Factors:
    S/S:
    Treatment:
    • Stapes gradually immobilizes
    • (prevents vibration)

    • Young women
    • Pregnancy

    • Hearing loss
    • Hear better in noisier areas

    • Hearing aid
    • Fluoride, calcium, vitamin D
    • Stapedectomy
    • Fenestration
  15. Meniere's Disease
    Etiology:
    S/S:
    Treatment:
    • Unknown
    • Increased volume

    • Sensorineural hearing loss
    • (NOT conductive)

    • Dyazide
    • Antivert
    • Phenergan
  16. Conductive Hearing Loss
    Causes:
    Permanent?
    • Foreign body or wax in outer ear
    • Otitis media, Otosclerosis

    NOT considered permanent
  17. Sensorineural Hearing Loss
    Causes:
    Permanent?
    • Disease
    • Injury
    • Ototoxic substances
    • Noise exposure

    Considered permanent
  18. The nurse correctly tells the client that the primary goal in the treatment for Meniere's disease is to:




    A) Preserve remaining hearing

    (Others are goals, NOT interventions)
  19. The nuse implements which of the following in the plan of care for a client who is hearing impaired?




    D) Speaks slowly
  20. How does the nurse correctly straighten the ear canal in preparing to administer ear drops to an adult client?
    Pull the pinna upward and outward

    (For children: pull down and back)
  21. The nurse assesses which of the following as a cause of conductive hearing loss? Select all that apply:






    • B) Cerumen
    • C) Otosclerosis
    • F) Middle ear disease
  22. The nurse collects a history froma client with suspected sensorineural hearing loss. Which of the following supports the diagnosis and should be reported?




    C) A history of exposure to excessive noise over a period of time
  23. A 21y/o male has confirmed diagnosis of a brain tumor. Following surgery for a tumor in the temporal lobe, the nursing assessment should include:




    C) Inability to perceive sound
  24. A 68y/o client comes to the clinic with complaints of pain in her joints. She is given a diagnosis of rheumatoid arthritis and the physician orders ASA therapy. Before discharge the nurse teaches the client that possible side effects of ASA therapy are:




    D) Gastritis, nausea, vomiting and bleeding
Author
wiscflor
ID
13684
Card Set
Auditory
Description
A
Updated