A nurse is preparing the discharge paperwork for a client newly diagnosed with a new onset of hearing loss. The nurse understands that the most appropriate intervention for this client would be?
Refer the patient to an ophthalmologist
Clean around the ear and the ear canal
Suggest the client buy reading glasses
Install a blinking light for phone calls
The Correct Answer is D
Choice A reason: An ophthalmologist treats eye conditions, not hearing loss. Referring to an audiologist or ENT specialist is appropriate, making this incorrect for addressing the client’s new hearing impairment.
Choice B reason: Cleaning the ear canal may address wax buildup but is not the primary intervention for new hearing loss. Professional evaluation is needed first, making this less appropriate than adaptive devices.
Choice C reason: Reading glasses address vision, not hearing loss. This intervention is irrelevant to the client’s needs, as hearing loss requires auditory accommodations, making this an incorrect suggestion.
Choice D reason: Installing a blinking light for phone calls compensates for hearing loss by providing visual cues, enhancing communication safety. This adaptive device is appropriate, making it the correct intervention for discharge.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Decreased skin elasticity is an expected finding in an 84-year-old, as aging reduces collagen and elastin, causing thinner, less resilient skin. This physiological change increases wrinkling and fragility, making it a common and anticipated sign in elderly patients.
Choice B reason: Increased muscle strength is not expected in an 84-year-old, as aging leads to sarcopenia, reducing muscle mass and strength. This causes weakness and mobility issues, making this an incorrect finding for an elderly patient’s typical presentation.
Choice C reason: Enhanced night vision is not typical in aging; older adults often experience reduced night vision due to retinal changes and slower pupil adaptation. This makes night vision an incorrect expected finding for an 84-year-old patient.
Choice D reason: Improved short-term memory is not expected, as aging often impairs short-term memory due to neuronal loss and slower cognitive processing. Memory decline is common in the elderly, making this an incorrect finding for an 84-year-old.
Correct Answer is B
Explanation
Choice A reason: Constipation is not a primary adverse effect of potassium supplements. Gastrointestinal upset may occur, but hyperkalemia is the critical concern, making this incorrect.
Choice B reason: Hyperkalemia is a serious adverse effect of potassium supplements, as excess potassium disrupts cardiac and muscle function, risking arrhythmias. Monitoring is essential, making this the correct choice.
Choice C reason: Hypoglycemia is unrelated to potassium supplements, which affect electrolyte balance, not glucose. This is an incorrect adverse effect for the nurse to monitor.
Choice D reason: Hypotension is not a direct effect of potassium supplements. Hyperkalemia’s cardiac risks are more relevant, making this incorrect for monitoring.
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