The nurse notes that a client was treated for labyrinthitis on previous admission. To determine if the problem has resolved, the nurse asks the client:
A)
"Have you noticed any drainage from your ears?"
B)
"Are you still having earaches?"
C)
"Do you ever have ringing in your ears?"
D)
"Are you having difficulty with your balance?"
D
Explanation:
A)
The inner ear, or labyrinth, contains receptors that respond to gravity and head position, helping to maintain balance. Drainage and earaches would relate to an ear infection and/or ruptured ear drum. Ringing in the ears can be a sign of ASA toxicity.
Application
Evaluation
Physiological Integrity: Reduction of Risk Potential
B)
The inner ear, or labyrinth, contains receptors that respond to gravity and head position, helping to maintain balance. Drainage and earaches would relate to an ear infection and/or ruptured ear drum. Ringing in the ears can be a sign of ASA toxicity.
Application
Evaluation
Physiological Integrity: Reduction of Risk Potential
C)
The inner ear, or labyrinth, contains receptors that respond to gravity and head position, helping to maintain balance. Drainage and earaches would relate to an ear infection and/or ruptured ear drum. Ringing in the ears can be a sign of ASA toxicity.
Application
Evaluation
Physiological Integrity: Reduction of Risk Potential
D)
The inner ear, or labyrinth, contains receptors that respond to gravity and head position, helping to maintain balance. Drainage and earaches would relate to an ear infection and/or ruptured ear drum. Ringing in the ears can be a sign of ASA toxicity.
Application
Evaluation
Physiological Integrity: Reduction of Risk Potential
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