Author Question: Of the following hearing aids, which interferes the most with wearing eyeglasses and using a phone? ... (Read 37 times)

jenna1 · **on:** Jul 23, 2018

Of the following hearing aids, which interferes the most with wearing eyeglasses and using a phone?

a. In-the-canal hearing aid
b. In- the-ear hearing aid
c. Behind-the-ear hearing aid
d. They are all equally useful.

Question 2

The patient complains to the nurse about a perceived decrease in hearing. When the nurse examines the patient's ear, she notices a large amount of cerumen (ear wax) buildup at the entrance to the ear canal. The nurse should

a. Apply gentle, downward retraction of the ear canal.
b. Tell the patient to use a bobby pin to extract earwax.
c. Teach the patient how to use cotton-tipped applicators.
d. Instill hot water into the ear canal to melt the wax.

SVictor · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: C
The behind-the-ear aid hooks around and behind the ear and is connected by a short, clear, hollow plastic tube to an ear mold inserted into the external auditory canal. It is useful for patients with rapidly progressive hearing loss or manual dexterity difficulties, but it is more visible and interferes with wearing eyeglasses and using a phone. An in-the-canal aid is the newest, smallest, and least visible and fits entirely in the ear canal. It does not interfere with wearing eyeglasses or using the telephone, but it does not accommodate progressive hearing loss and requires manual dexterity to operate. An in-the-ear aid does not interfere with wearing of eyeglasses or phone usage, but it is more noticeable than the in-the-canal aid and is not useful for persons with skin problems in the ear canal.

Answer to Question 2

ANS: A
When cerumen is visible, gentle, downward retraction at the entrance to the ear canal causes the wax to loosen and slip out. Instruct the patient never to use sharp objects such as bobby pins or paper clips to remove earwax. Use of such objects traumatizes the ear canal and ruptures the tympanic membrane. Avoid the use of cotton-tipped applicators as well because they cause earwax to become impacted within the canal. Instilling cold or hot water causes nausea or vomiting.