An older nursing home resident reports that her hearing loss is getting worse. What is the first action of the nurse?
Raise her voice when speaking to the resident
Examine the resident's ears for cerumen impaction
Teach the resident to read lips
Refer the resident for an evaluation for a hearing aid
The Correct Answer is B
A. Raising the voice may distort speech further and can be perceived as yelling, which is not respectful or always helpful.
B. Examining the resident’s ears for cerumen impaction is the first and most appropriate action, as impacted earwax is a common and reversible cause of hearing loss in older adults.
C. Teaching the resident to read lips may be beneficial later, but it is not a first-line action before identifying a possible correctable cause.
D. Referring for a hearing aid evaluation is appropriate if a physical cause like cerumen impaction is ruled out.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","E"]
Explanation
A. Tumors of the middle earare more likely to cause conductivehearing loss, not sensorineural.
B. Cerumen impactionblocks sound conduction in the external auditory canal and is a cause of conductivehearing loss.
C. Age-related hearing impairment(presbycusis) is a common cause of sensorineuralhearing loss, involving damage to inner ear structures or the auditory nerve.
D. Infections of the external and middle ear(such as otitis media or externa) typically result in conductivehearing loss.
E. Excessive and loud noisecan damage the hair cells in the cochlea, a hallmark of sensorineuralhearing loss.
Correct Answer is B
Explanation
A. While scabies can occur in individuals with chronic illnesses, it is not limited to this population and can affect people of all ages.
B. Scabies is highly contagious and spreads through close physical contact, such as skin-to-skin contact or sharing bedding and clothing, making this the best and most accurate response.
C. There is no direct link between medications and increased susceptibility to scabies, although immunosuppression may play a role in severe cases.
D. Age-related skin changes do not directly cause scabies; the condition is due to infestation with the Sarcoptes scabiei mite.
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