Sensory Perception: Hearing Deficit

Question 1

SSA Prevent Sensory Deprivation

Answer 1

Wall calendar, newspaper, back massage, invite to recreation

Question 2

Suspect hearing disorder

Answer 2

watch family interactions

Question 3

Sensory disorder what

Answer 3

devices needed

Question 4

older adult hearing loss explosion

Answer 4

Immediate permeate loss of hearing

Question 5

Physical assessment risk for cataracts in health history

Answer 5

age 75 years old

Question 6

Communicate hearing deficit

Answer 6

speak at normal pace

Question 7

safety visual

Answer 7

call button in reach

Question 8

What is conductive hearing loss?

Answer 8

Anything that disrupts the transmission of sound from the external auditory meatus to the inner ear results in a conductive hearing loss.

Question 9

What are the most common causes of conductive hearing loss?

Answer 9

Obstruction of the external ear canal like impacted cerumen, edema of the canal lining, stenosis, and neoplasms.

Question 10

What is sensorineural hearing loss?

Answer 10

Disorders that affect the inner ear, the auditory nerve, or the auditory pathways of the brain.

Question 11

What are some causes of sensorineural hearing loss?

Answer 11

Damage to the hair cells because of loud noise, loud continuous noise.

Question 12

What people are at the most risk for sensorineural hearing loss?

Answer 12

first responders, construction workers, people at places with fireworks; being at concerts; firearms; and the use of earbuds and loud toys.

Question 13

What is Presbycusis?

Answer 13

When the hair cells of the cochlea degenerate, producing a progressive sensorineural hearing loss.

Question 14

What are the diagnostic tests uses for hearing loss disorders?

Answer 14

1. whisper tests
2. otoscope examination
3. tympanogram
4. use of a tuning fork to perform the Rinne and Weber tests

Question 15

What is a stapedectomy?

Answer 15

The removal and replacement of the stapes used to treat hearing loss related to otosclerosis

Question 16

What is a tympanoplasty?

Answer 16

Where the structures of the middle ear are reconstructed to improved conductive hearing deficits.

Question 17

What are some clinical therapies for conductive hearing loss?

Answer 17

1. hearing aids
2. treatment of underlying conditions such as otitis media
3. Steroids and/or decongestants to reduce inflammation
4. surgery

Question 18

What is the main clinical therapy for sensorineural hearing loss?

Answer 18

Cochlear implant

Question 19

What are the clinical therapies for presbycusis?

Answer 19

1. hearing aids

2. steroids or decongestants to reduce inflammation

Question 20

What are the clinical therapies for tinnitus?

Answer 20

1. treatment of the underlying cause

2. tinnitus maskers such as ambient noise

Question 21

What type of drugs help with hearing loss disorders?

Answer 21

1. Adrenergic drugs
2. Corticosteroids
3. antibiotics

Question 22

How do adrenergic drugs help with hearing loss disorders and give an example of one of these drugs?

Answer 22

They enhance norepinephrine and epinephrine activity by stimulating alpha-adrenergic receptors. This causes vasoconstriction and reduces inflammation.
EX: pseudoephedrine

Question 23

What are some nursing considerations with Adrenergic Drugs?

Answer 23

1. Use with caution in patients with hyperthyroidism, hypertension, or heart disease.
2. Instruct the patient to limit caffeine use because it can lead to hypertension and tachycardia.

Question 24

How do corticosteroids help with hearing loss disorders and give an example of one of these drugs?

Answer 24

They reduce inflammation and the immune response system.

Question 25

What are the nursing considerations with Adrenergic Drugs?

Answer 25

1. Warn the patient that grapefruit or grapefruit juice may alter the drug's uptake. 2. Barbiturates may decrease the effectiveness 3. Live vaccines should be avoided while taking corticosteroids

Question 26

How do antibiotics help with hearing disorders?

Answer 26

They treat bacterial infections that could cause hearing problems.

Question 27

What nonpharmacologic treatments are there for people with a hearing deficit?

Answer 27

1. Amplifications 2. speech therapy 3. instructions in lip reading, signing, cuing, and finger-spilling

Question 28

What are the three types of hearing aids that are in the Pearson textbook?

Answer 28

1. canal hearing aids 2. in-ear hearing aid 3. behind-ear hearing aid

Question 29

What is a canal hearing-aid?

Answer 29

A hearing aid that fits into the ear canal. They are appropriate for mild to moderately severe hearing loss. Because of their small size, the patient must have good manual dexterity to insert, clean, and change the batteries in canal hearing aids.

Question 30

What is an in-ear hearing aid?

Answer 30

A hearing aid that fits into the external ear and is used for mild to severe hearing loss.

Question 31

What is a pocket talker and what is it used for?

Answer 31

They are an assistive listening device for people who do not have a hearing aid. It has a microphone and earpieces and is available over the counter.

Question 32

What may people with tinnitus use to help with their disorder?

Answer 32

They may find a white or pink noise device to help them to promote concentration and rest.

Question 33

What are TTD/TTY telephones and phones?

Answer 33

Devices with amplifiers that are available to assist patients who are deaf or hearing impaired in communicating with the outside world.

Question 34

What is cued speech?

Answer 34

A supplement to lip reading uses eight handshapes that represent groups of consonant sounds and four positions about the face that represent groups of vowel sounds.

Question 35

What is an oral approach?

Answer 35

Uses only spoken language for face-to-face communication. It avoids the use of formal signs and uses hearing aids and residual hearing

Question 36

What is total communication?

Answer 36

Using speech and sign, fingerspelling, lip-reading, and residual hearing simultaneously.

Question 37

What are the risk factors for infants to get a hearing disorder?

Answer 37

1. family history of congenital hearing loss 2. Neonatal intensive care stay of more than 5 days 3. Exposure to assisted ventilation, ototoxic medications, loop diuretics, or chemotherapy for any amount of time. 4. In utero infections with TORCH (toxoplasmosis, rubella, cytomegalovirus, syphilis, herpes) pathogens 5. Craniofacial abnormalities (cleft palate) and head trauma 6. presence of syndromes or disease associated with hearing loss (neurofibromatosis; osteopetrosis; Usher, Waardenburg, Alport, Pendred, Jervell, Lange-Neilson, and Hunter syndromes; or Charcot-Marie-tooth disease) 7. Otitis media

Question 38

What are the signs that an older adult may have a hearing deficit?

Answer 38

1. They may be unsociable or paranoid. 2. they may seem forgetful, absentminded, or perhaps "senile" 3. depression, confusion, inattentiveness, tension, and negativism. 4. cupping an ear, difficulty understanding verbal communication when they cannot see the speaker's face, difficulty following a conversation in a large group, and withdrawal from social activities

Question 39

How would a nurse assess for a hearing deficit?

Answer 39

1. note the pt's ability to respond to verbal cues or other noises 2. look for ear problems that cause alterations in balance if they seem unsteady or imbalanced 3. use questions to perceive the patient's ability to hear. 4. risk factors such as the use of ototoxic mediations 5. upper respiratory tract or frequent ear infections 6. noise exposure 7. see if they have vertigo and tinnitus

Question 40

What should the nurse do to perform a physical examination for a hearing deficit problem?

Answer 40

1. inspect the external ear and the tympanic membrane 2. Whisper test 3. Rinne and Weber tests 4. Balance test 5. cranial nerve function tests

Question 41

What are some nursing interventions and education for people with hearing loss?

Answer 41

1. Promote optimal wellness 2. Facilitate communication 3. Encourage socialization

Question 42

How would a nurse promote optimal wellness in a patient with hearing loss?

Answer 42

1. encourage the pt to talk about the hearing loss and its effect on ADLs 2. Talk with family members about techniques they can use to make communication with the patient easier. 3. provide information about the type of hearing loss 4. Remind the pt to replace batteries in hearing aids regularly and as needed.

Question 43

How would a nurse encourage socialization?

Answer 43

1. Identify the extent and cause of social isolation. 2. Encourage the patient to interact with friends and family on a one-to-one basis in quit settings. It is easier for her to understand conversation in a small group. 3. Involve the patient in activities that do not require an acute hearing, such as checkers and chess. 4. Refer the patient to resources such as support groups and senior citizen centers.