An older patient is diagnosed with sensorineural hearing loss. You know that causes of sensorineural hearing loss include: (Select all that apply.)
Tumors of the middle ear
Cerumen impaction
Age-related hearing impairment
Infections of the external and middle ear
Excessive and loud noise
Correct Answer : C,E
A. Tumors of the middle ear are more likely to cause conductive hearing loss, not sensorineural.
B. Cerumen impaction blocks sound conduction in the external auditory canal and is a cause of conductive hearing loss.
C. Age-related hearing impairment (presbycusis) is a common cause of sensorineural hearing 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 conductive hearing loss.
E. Excessive and loud noise can damage the hair cells in the cochlea, a hallmark of sensorineural hearing loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. Delirium is a potentially reversible cause of cognitive changes, often triggered by acute illness, infection, or medication.
B. Depression in older adults can mimic dementia and cause memory or concentration issues, and it is reversible with treatment.
C. Osteoporosis affects bones, not cognition, and is not related to changes in memory or behavior.
D. Medication side effects (e.g., anticholinergics, sedatives) are a common and reversible cause of cognitive impairment in older adults.
E. Rheumatoid arthritis is a chronic autoimmune joint disease and does not directly cause cognitive changes.
Correct Answer is A
Explanation
A. Hypothermiais clinically defined as a core body temperature below 95.0°F (35°C). It is a medical emergency, especially in older adults who may have reduced thermoregulation.
B. 97.5°F is within the normal rangefor body temperature and does not indicate hypothermia.
C. 93.2°F is considered moderate hypothermia, but the diagnostic threshold is 95.0°F.
D. 90.5°F would indicate severe hypothermia, but again, the official definition begins at <95.0°F.
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