During an examination, the nurse notices that the patient ...

[Alygatorr01285]

During an examination, the nurse notices that the patient stumbles a little while walking, and, when she sits down, she holds on to the sides of the chair. The patient states, It feels like the room is spinning
 
  The nurse notices that the patient is experiencing:
  a.
  Objective vertigo.
  b.
  Subjective vertigo.
  c.
  Tinnitus.
  d.
  Dizziness.

Question 2

A patient has been admitted after an accident at work. During the assessment, the patient is having trouble hearing and states, I don't know what the matter is. All of a sudden, I can't hear you out of my left ear What should the nurse do next?
 
  a. Make note of this finding for the report to the next shift.
  b. Prepare to remove cerumen from the patient's ear.
  c. Notify the patient's health care provider.
  d. Irrigate the ear with rubbing alcohol.

[janeli1]

Answer to Question 1

ANS: A
With objective vertigo, the patient feels like the room spins; with subjective vertigo, the person feels like he or she is spinning. Tinnitus is a sound that comes from within a person; it can be a ringing, crackling, or buzzing sound. It accompanies some hearing or ear disorders. Dizziness is not the same as true vertigo; the person who is dizzy may feel unsteady and lightheaded.

Answer to Question 2

ANS: C
Any sudden loss of hearing in one or both ears that is not associated with an upper respiratory infection needs to be reported at once to the patient's health care provider. Hearing loss associated with trauma is often sudden. Irrigating the ear or removing cerumen is not appropriate at this time.

[Alygatorr01285]

Gracias!

[bdobbins]

TYSM