The client comes to the medical office complaining of tinnitus ...

[vicky]

The client comes to the medical office complaining of tinnitus and bilateral hearing loss. After reviewing the client's medical record, the nurse determines that recently prescribed medication could be the cause for the assessment data. Which medications
 
  1. Streptomycin.
  2. Steroid inhalers.
  3. Aspirin.
  4. Neomycin.
  5. Acetaminophen.

Question 2

The nurse is performing a focused interview with the client and asks the client if there has been any drainage from the ears. The client responds, Yes. Which statement by the health care provider indicates that the client may have developed acute otitis
 
  1. The ear canal itself is really red, raw, and sore.
  2. I noticed that the drainage looked clear, like water.
  3. The drainage looks like what is draining from my nose, kind of clear and mucous-like.
  4. It is kind of yellowish-reddish color.

[miss_1456@hotmail.com]

Answer to Question 1

Correct Answer: 1, 3, 4
Streptomycin is an antibiotic that can cause hearing loss. Aspirin can cause ringing in the ears. Neomycin is an antibiotic that can cause hearing loss. Steroid inhalers are associated with Candida (yeast infections) in the nasal mucosa. Acetaminophen is not associated with hearing loss.

Answer to Question 2

Correct Answer: 4
The client with acute otitis media will state that they are experiencing drainage from the ears that is purulent. Reddish-yellow drainage would be classified as purulent. When the client complains that the ear canal is inflamed, painful, and with erythema, this indicates that the client may have developed otitis externa. Clear drainage from the ear may indicate that the client has developed a cerebrospinal fluid leak following trauma. Serous drainage can indicate that the client has developed drainage from the ears as a result of allergies.