A nurse is planning preoperative teaching for a client with conductive hearing loss due to otosclerosis
The client is scheduled for a stapedectomy with insertion of a prosthesis. What information is most crucial to include in the client's preoperative teaching?
A) 35% of clients 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 client 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 clients.
Ans: B
Feedback: Stapedectomy is a very successful procedure; approximately 95% of clients experience restoration of hearing. However, hearing returns gradually and can continue to improve for several weeks after surgery. It is important that the client 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 clients who are getting out of bed for the first time after surgery, this information is routinely provided and is not specific to the client undergoing stapedectomy. Availabilty of close-captioned TV programs is very advantageous; however, it is not crucial information related to surgical outcomes.
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