The nurse is providing care for a geriatric patient with loss of hearing acuity over the past several years. Which statement by the nurse is most accurate?
"Many people experience an age-related decline in their hearing."
"You will need to get hearing aids in order to function in society."
"This is often due to an infection that will resolve on its own."
This is likely an effect of your medications. Try stopping them for a few days."
The Correct Answer is A
A. Age-related hearing loss, also known as presbycusis, is a common condition among older adults. It typically involves a gradual decline in hearing ability due to changes in the inner ear or auditory nerve as people age. This statement acknowledges a common experience and helps normalize the patient's condition without suggesting immediate medical intervention or attributing it to something specific.
B. While hearing aids can significantly improve the quality of life for individuals with hearing loss, not all cases immediately require them. It’s important to assess the severity of hearing loss and discuss various options with the patient, including potential benefits and drawbacks of hearing aids.
C. Hearing loss that develops gradually over time is usually related to aging, not an infection. While infections can cause temporary hearing loss, age-related hearing loss is a different issue and is typically not due to an infection.
D. While some medications can cause temporary or permanent hearing loss as a side effect (a condition known as ototoxicity), it’s important to consult a healthcare provider before making any changes to medication regimens.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Automatically switching to liquid nutrition without assessing the client’s tolerance and needs may not be the most appropriate first step. It’s important to consider the client’s preferences, nutritional requirements, and overall ability to tolerate different types of food.
B. This is a highly appropriate and commonly recommended intervention for clients experiencing nausea and weight loss due to chemotherapy. Small, frequent meals can help manage nausea better than large meals and ensure a more consistent intake of calories and nutrients.
C. Eating one large meal per day is generally not advisable for clients with nausea, as it can exacerbate feelings of fullness and discomfort. Large meals may increase nausea and make it more difficult for the client to consume adequate nutrients. Small, frequent meals are generally better tolerated and more effective for managing nausea and ensuring consistent nutrient intake.
D. Inserting a nasogastric (NG) tube and administering tube feedings is a more invasive measure and is usually considered only if oral intake is severely compromised and other interventions have been ineffective. Tube feedings are appropriate for clients who cannot meet their nutritional needs through oral intake due to severe nausea, vomiting, or other conditions.
Correct Answer is A
Explanation
A. Radiofrequency catheter ablation involves the use of electrical energy (radiofrequency energy) delivered through a catheter to destroy or ablate the areas of the heart tissue responsible for the abnormal electrical signals causing atrial flutter. This destruction of tissue helps to interrupt the abnormal electrical pathways and restore normal rhythm.
B. The procedure for atrial flutter ablation does not use cold therapy. Instead, it uses radiofrequency energy (heat) to ablate the tissue. Cold therapy, or cryoablation, is a different technique that uses extreme cold to achieve similar effects but is not the standard approach for radiofrequency catheter ablation.
C. Radiofrequency catheter ablation does not involve removing clots. The primary purpose of the procedure is to ablate abnormal tissue causing arrhythmias, not to address clots. Managing clots may involve anticoagulant therapy or other treatments, but it is not the focus of ablation.
D. Radiofrequency catheter ablation does not stimulate the growth of new conduction pathways. Instead, it aims to destroy the abnormal conduction pathways responsible for arrhythmias.
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