A nurse is planning a personal safety educational session for those who work in a manufacturing plant. Which of the following would be an important risk prevention measure to include regarding hearing?
"It is important to have general hearing screening tests every year."
"Ototoxic medications can damage hearing and should be avoided."
"Wear hearing protectors when in loud environments."
"Hearing loss can be caused by long or repeated sounds above 85 decibels."
The Correct Answer is C
Choice A reason: Annual hearing screenings detect loss, not prevent it. In manufacturing, where noise exposure is immediate, this reactive measure doesn’t address the primary risk of loud machinery damaging cochlear hair cells, missing proactive protection entirely.
Choice B reason: Avoiding ototoxic drugs like aminoglycosides prevents chemical hearing damage, but manufacturing noise is the dominant risk. This advice is secondary to physical noise control, less relevant to the plant’s environmental hazard than direct protective measures here.
Choice C reason: Hearing protectors, like earplugs, block noise above 85 decibels, preventing cochlear damage in loud manufacturing settings. This primary prevention targets the main risk—prolonged sound exposure—directly safeguarding workers’ auditory health effectively and immediately in context.
Choice D reason: Stating noise above 85 decibels causes loss educates but doesn’t prevent. It’s factual—hair cells die from overexposure—but lacks actionable protection for manufacturing workers facing this risk daily, making it less practical than wearing protectors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: PSA isn’t highly reliable alone; false positives occur. It’s a screening tool, not definitive, requiring biopsy for diagnosis, making this inaccurate and less informative than explaining its broader causes for this client fully here.
Choice B reason: PSA complements, not replaces, digital rectal exam (DRE). Both detect cancer; PSA misses some tumors DRE finds, rendering this false and incomplete for teaching screening essentials to a committed client entirely here fully.
Choice C reason: Annual PSA at 25 is too early; guidelines suggest 50, or 40-45 with family history. This overstates frequency and timing, misguiding the client on evidence-based screening practices for prostate cancer risk comprehensively here.
Choice D reason: PSA rises with cancer, BPH, or infection, educating the client on its non-specificity. This accurate teaching supports informed screening with family history, clarifying why follow-up is key, making it the best response accurately here.
Correct Answer is D
Explanation
Choice A reason: Graphesthesia tests parietal lobe sensory processing, not cerebellar function. The cerebellum coordinates movement, not cortical interpretation, making this irrelevant to assessing ataxia or balance issues expected in a cerebellar-focused exam entirely here fully.
Choice B reason: Stereognosis assesses parietal tactile recognition, not cerebellar motor control. This sensory test misses the cerebellum’s role in coordination and balance, excluding it as a priority for evaluating cerebellar dysfunction in this assessment comprehensively.
Choice C reason: Vibration tests posterior column sensation, not cerebellar function. While neurological, it targets spinal pathways, not the cerebellum’s coordination role, rendering it secondary to movement-based tests for cerebellar evaluation in this context fully here.
Choice D reason: Gait and balance directly assess cerebellar function, critical for coordination. Ataxia or wide-based gait from cerebellar damage makes this the priority test, aligning with the preceptor’s focus on cerebellar performance accurately and effectively here.
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