Client developed rapid hearing loss accompanied by tinnitus

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The nurse is caring for an adult client admitted to the neurosurgical step down unit. Progress Notes Nurse's Notes A middle -aged client developed rapid hearing loss accompanied by tinnitus in the right ear. Magnetic resonance image (MRI ) of the brain revealed a 3 cm x 3 cm cerebellopontine angle tumor with significant edema and midline shift of the fourth ventricle . Hearing tests indicate client's hearing is muffled on the right with vestibular function on the right at 57%. Left hearing is normal. The client exhibited no symptoms of cranial nerve involvement , except for cranial nerve VIII . The client underwent a 6 -hour right transverse sigmoid craniotomy yesterday morning for removal of a grade II meningioma and was transferred to the neurosurgical intensive care unit following an uneventful recovery in the post anesthesia care unit ( PACU). Awake, alert, and fully oriented. Moving all extremities well . The client is experiencing significant vertigo and moderate headache. Client has full facial movement and sensation, no facial pain. Reports numbness of the right ear, cheek, and jaw. Hearing remains muffled on the right and.

Reference no: EM133787474

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