A client reports symptoms of continuing ear pain, difficulty ...

[shofmannx20]

A client reports symptoms of continuing ear pain, difficulty hearing, and tenderness following treatment for otitis media. The area behind the ear is red and swollen. What problem might be indicated by these symptoms?
 
  1. Otitis externa
  2. Labyrinthitis
  3. Chronic otitis media
  4. Mastoiditis

Question 2

The nurse instructs a client who has been prescribed cyclopentolate (Cyclogyl) about appropriate safety measures. Additional teaching is required if the client states:
 
  1. I might experience a dry mouth until the effects of the medication are gone.
  2. I will avoid driving or operating hazardous machinery until the effects of the medication are gone.
  3. I will wear dark glasses until the light sensitivity and blurred vision have resolved.
  4. I will use sunscreen or protective clothing when outdoors because of the risk of sunburn due to photosensitivity.

[leahchrapun]

Answer to Question 1

Correct Answer: 4
Rationale 1: These are not symptoms of otitis externa.
Rationale 2: These are not symptoms of labyrinthitis.
Rationale 3: The client was treated for otitis media. These are not symptoms of chronic otitis media.
Rationale 4: The symptoms the client is reporting are indicative of mastoiditis.
Global Rationale: The symptoms the client is reporting are indicative of mastoiditis. The client was treated for otitis media. These are not symptoms of chronic otitis media. These are not symptoms of otitis externa or labyrinthitis.

Answer to Question 2

Correct Answer: 4
Rationale 1: A dry mouth might be experienced when receiving an anticholinergic agent that is absorbed systemically.
Rationale 2: Blurred vision results from the pupils being dilated with this medication. Safety is a priority.
Rationale 3: The parasympathetic nervous system is responsible for normal autonomic control of the diameter of the pupil. When anticholinergic drugs are administered, this control is lost, and the pupil dilates. This increases the sensitivity to light, and the client will benefit from wearing dark glasses.
Rationale 4: Photosensitivity is an adverse effect of this medication, but it applies to the eyes being sensitive to light, not to the skin being susceptible to sunburn.

Global Rationale: Photosensitivity is an adverse effect of this medication, but it applies to the eyes being sensitive to light, not to the skin being susceptible to sunburn. Photosensitivity is an adverse effect of this medication, but it applies to the eyes being sensitive to light, not to the skin being susceptible to sunburn. A dry mouth might be experienced when receiving an anticholinergic agent that is absorbed systemically. Blurred vision results from the pupils being dilated with this medication. Safety is a priority. The parasympathetic nervous system is responsible for normal autonomic control of the diameter of the pupil. When anticholinergic drugs are administered, this control is lost, and the pupil dilates. This increases the sensitivity to light, and the client will benefit from wearing dark glasses.

[shofmannx20]

Thank you!

[leahchrapun]

Always glad to help...