Author Question: When the nurse is taking a health history of a new patient at the ear clinic, the patient states, I ... (Read 130 times)

joesmith1212 · **on:** Jun 25, 2018

When the nurse is taking a health history of a new patient at the ear clinic, the patient states, I have to sleep with the television on. Which follow-up question is most appropriate to obtain more information about possible hearing problems?

a. Do you grind your teeth at night?
b. What time do you usually fall asleep?
c. Have you noticed ringing in your ears?
d. Are you ever dizzy when you are lying down?

Question 2

The nurse recording health histories in the outpatient clinic would plan a focused hearing assessment for adult patients taking which medication?

a. Atenolol (Tenormin) taken to prevent angina
b. Acetaminophen (Tylenol) taken frequently for headaches
c. Ibuprofen (Advil) taken for 20 years to treat osteoarthritis
d. Albuterol (Proventil) taken since childhood to treat asthma

Hdosisshsbshs · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Patients with tinnitus may use masking techniques, such as playing a radio, to block out the ringing in the ears. The responses Do you grind your teeth at night? and Are you ever dizzy when you are lying down? would be used to obtain information about other ear problems, such as vestibular disorders and referred temporomandibular joint (TMJ) pain. The response What time do you usually fall asleep? would not be helpful in assessing problems with the patient's ears.

Answer to Question 2

ANS: C
Nonsteroidal antiinflammatory drugs (NSAIDs) are potentially ototoxic. Acetaminophen, atenolol, and albuterol are not associated with hearing loss.