Author Question: The nurse notes that a client was treated for labyrinthitis on a previous admission. To determine ... (Read 109 times)

karen

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The nurse notes that a client was treated for labyrinthitis on a previous admission. To determine whether the problem has resolved, the nurse should ask the client:
 
  1. Have you noticed any drainage from your ears?
  2. Are you still having earaches?
  3. Are you having difficulty with your balance?
  4. Do you ever have ringing in your ears?

Question 2

When caring for a client who has experienced a massive trauma, the nurse recognizes that the response of the sympathetic nervous system to stress correlates with which assessment finding?
 
  1. Dilated pupils
  2. Increased peristalsis
  3. Decreased pulse
  4. Urinary urgency



Kingjoffery

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Answer to Question 1

Answer: 3

1. Drainage and earaches indicate an ear infection.
2. Earaches would relate to an ear infection and/or ruptured ear drum.
3. The inner ear, or labyrinth, contains receptors that respond to gravity and head position, helping to maintain balance.
4. Ringing in the ears can be a sign of ASA toxicity.

Answer to Question 2

Answer: 1

1. The sympathetic nervous system response to stress is to dilate pupils.
2. The parasympathetic nervous system response would be to increase peristalsis.
3. The parasympathetic nervous system response would be to decrease the pulse.
4. The parasympathetic nervous system response would be to cause urinary urgency.



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