A patient with conductive hearing loss due to otosclerosis undergoes a stapedectomy with insertion of a prosthesis. Which of the following information is most crucial to include in the patient's preoperative teaching?
A) 35% of patients will not experience restoration of hearing.
B) Noticeable improvement in hearing may not be experienced for up to 6 weeks after surgery.
C) The nurse must assist the patient to get out of bed on the first postoperative day.
D) Close-captioned TV programs are available at the hospital to meet the needs of hearing-impaired patients.
Ans: B
Feedback: Stapedectomy is a very successful procedure; approximately 95% of patients experience restoration of hearing. However, hearing returns gradually and can continue to improve for up to six weeks after surgery. It is important that the patient understand this in order to prevent disappointment, anxiety, or depression after surgery. While it is important that a member of the nursing staff assist all postoperative patients who are getting out of bed for the first time after surgery, this information is routinely provided and is not specific to the patient undergoing stapedectomy. Availability of close-captioned TV programs is very advantageous; however, it is not crucial to surgical outcome.
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