Author Question: The nurse should instruct a client with impaired hearing due to impacted cerumen to do which of the ... (Read 42 times)

mcmcdaniel · **on:** Jul 22, 2018

The nurse should instruct a client with impaired hearing due to impacted cerumen to do which of the following?

1. Clean out the wax with an ear swab
2. Insert water into ears every day
3. Occlude nasal passages with pinched fingers and blow until the ears pop
4. Utilize prescribed lubricating and dissolving medication as indicated

Question 2

A client with impaired hearing is having a test to measure the compliance of the middle ear to sound transmission. The nurse would instruct the client about which of the following diagnostic tests?

1. Rinne test
2. Weber test
3. Tympanometry
4. Acoustic reflex

ebe · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. Utilize prescribed lubricating and dissolving medication as indicated

Rationale:
The nurse should instruct the client how to use the prescribed medication to lubricate and dissolve the impacted cerumen. The nurse should not instruct the client to clean out the wax with an ear swab nor to insert water into the ears daily. The technique of occluding the nasal passages with pinched fingers and blowing until the ears pop could cause damage to the client's inner ear structures and should not be done.

Answer to Question 2

3. Tympanometry

Rationale:
The tympanometry is an indirect measurement of the compliance and impedance of the middle ear to sound transmission. The external auditory meatus is subjected to neutral, positive, and negative air pressure while the resultant sound energy flow is monitored.
The Rinne and Weber tests assess bone and air conduction with the use of a tuning fork. Acoustic reflex testing uses a tone presented at various intensities to evaluate movement of the structures of the middle ear.