ASSESSING THE EARS AND HEARING

Case Analysis

Case I:

Gigi, 6 years old preschooler, complained of otalgia, 38.6’C febrile, nasal congestion and
coughing. She was rushed to the school nurse. Upon assessment, foul purulent discharge
at right ear (AD) and with lymphadenopathy at palpation of the neck. Gigi also complained
of vomiting and diarrhea.

Question:
1. Identify the HA techniques done by the nurse to identify the manifestations and
explain how the nurse performs the assessment.

The client is experiencing ear pain (oltagia), nasal congestion, and coughing. The
nurse's procedures include inspection, palpation, percussion, and auscultation. If the
right ear is severely infected, the nurse will inspect it. Following that, the nurse will
palpate and tape various extremities on the client's body to determine if she has any
other disease. The nurse will now collect his or her data and instantly transmit it to the
physician.

2. Identify at least 3 nursing diagnosis

1. Pain management
2. Removal of debris from the ears
3. Administration of topical medications to control edema and infection

Case II

Kire,40 years old at the Outpatient Department and complained of tinnitus and aural
fullness. Hearing loss at left ear and recurring episodes of vertigo.

Question:
1. What strategies should the nurse provide to help the client with progessive hearing
loss become oriented with the hospital or home environment and to maintain as
much independence with mobility as possible?

The nurse’s goal of treatment may include recommendations for lifestyle and habit
modifications, as well as surgical treatment. The treatment is intended to eradicate
vertigo or to slow or stop the progression of the sickness. The nurse should advice
the client to take a diet and to reduce the amount of sodium intake. Providing a
secure, calm, and darkly lighted atmosphere, as well as enforcing bed rest for
quick recuperation. Prescription drugs, such as antihistamines, antiemetics, and
potentially moderate diuretics, should be administered. And suggest workouts to
improve the clients balance. These can assist to lessen vertigo. Maintain a chart
to keep track of your progress. It can alert you to any changes in your vertigo
symptoms. Include information such as the date, the activities performed or the
distance walked, and how you felt during each exercise.