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A nurse is caring for a client.
Exhibits

A nurse is reviewing a client's medical record. Select the 3 findings that place the client at risk for hearing impairment.

A.

Osteoarthritis

B.

Occupation

C.

Furosemide

D.

Hyperlipidemia

E.

Naproxen

Answer and Explanation

Correct Answer : B,C,E

A. Osteoarthritis: Osteoarthritis is a degenerative joint disease that affects the joints, particularly weight-bearing ones, but it does not have a direct impact on hearing. Therefore, it is not a risk factor for hearing impairment.

B. Occupation: Construction workers are often exposed to loud noise, which increases the risk of hearing impairment.

C. Furosemide: Furosemide is a loop diuretic that can cause ototoxicity, leading to hearing impairment.

D. Hyperlipidemia: Hyperlipidemia, characterized by high levels of lipids in the blood, primarily affects cardiovascular health and does not directly contribute to hearing impairment. It is not considered a risk factor for hearing loss.

E. Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that has been associated with ototoxicity and can increase the risk of hearing impairment.

G. Lovastatin: Lovastatin is a statin used to lower cholesterol levels. While statins have side effects, they are not typically associated with ototoxicity or hearing impairment. Therefore, Lovastatin is not a risk factor for hearing loss.


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Related Questions

Correct Answer is C

Explanation

A. "Small electrodes are placed on my scalp." This statement describes an EEG, not the Rinne test. The Rinne test involves a tuning fork, not electrodes. This statement is incorrect.

B. "I will wear earphones during this test." This statement describes an audiometry test, not the Rinne test. The Rinne test uses a tuning fork, not earphones. This statement is incorrect.

C. "A tuning fork is placed on my head." The Rinne test is a hearing test that involves placing a vibrating tuning fork on the mastoid process behind the ear and then comparing the sound conducted through bone to the sound conducted through air.

D. "A small probe is placed inside my ear." This statement describes tympanometry or other tests that involve probes in the ear, not the Rinne test. The Rinne test uses a tuning fork placed on the mastoid bone and near the ear canal. This statement is incorrect.

Correct Answer is C

Explanation

A. Increased muscle tone of the bowel: Aging generally leads to decreased muscle tone and motility in the bowel, not increased. This option is incorrect.

B. Decreased pH of the stomach: Aging is associated with a decrease in gastric acid production, leading to a higher (less acidic) pH, not a lower (more acidic) pH. This option is incorrect.

C. Decreased intestinal peristalsis: Aging commonly results in decreased intestinal peristalsis, which can lead to constipation and other digestive issues. This option is correct.

D. Increased gastric acid production: Older adults typically experience decreased gastric acid production, not an increase. This option is incorrect.

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