A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing, especially in large groups. He says that he "can't always tell where the sound is coming from" and the words often sound "mixed up." What might the nurse suspect as the cause for this change?
Nerve degeneration in the inner ear
Cilia becoming coarse and stiff
Scarring of the tympanic membrane
Atrophy of the apocrine glands
The Correct Answer is A
A. Nerve degeneration in the inner ear: This describes presbycusis, a common age-related hearing loss due to degeneration of the cochlea or auditory nerve, often affecting the ability to hear high-frequency sounds and distinguish sounds in noisy environments.
B. Cilia becoming coarse and stiff: This contributes to conductive hearing loss but does not typically cause difficulty localizing sounds.
C. Scarring of the tympanic membrane: This may result from repeated infections but usually causes conductive hearing loss.
D. Atrophy of the apocrine glands: This affects sweat production, not hearing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This emphasizes recognizing abnormal findings, such as an enlarged testicle or a painless lump, which may indicate testicular cancer.
B. Testicles are smooth, firm, and egg-shaped but should not have a lumpy consistency.
C. Monthly, not weekly, self-examinations are recommended for early detection.
D. The best time to examine is during or after a warm shower when the scrotum is relaxed, not before.
Correct Answer is C
Explanation
A. Air conduction greater than bone conduction: This is tested with the Rinne test, not the Weber test.
B. Bilateral hearing loss: This is not a normal finding in the Weber test.
C. No lateralization of vibrations: In a normal Weber test, the vibrations are heard equally in both ears, indicating no conductive or sensorineural hearing loss.
D. Unilateral hearing loss: This would be abnormal and suggest hearing impairment in one ear.
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