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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. This statement is incorrect because many chronic illnesses are not curable. The goal of care for chronic illnesses is often to manage the condition, improve quality of life, and prevent complications, rather than achieving a complete cure.
B. This statement is accurate. Managing a chronic illness often requires significant time and effort, including medication adherence, lifestyle changes, and regular medical appointments.
C. The trajectory of a chronic illness can vary greatly between individuals, even those with the same condition. Factors such as genetics, lifestyle, and access to care can influence the course of the illness.
D. This statement is accurate. Educating the client and caregiver about the prescribed treatment plan is essential for optimal management of chronic illnesses. This includes understanding medication dosages, side effects, and lifestyle modifications.

A. Edrophonium B. Prednisone C. Carbidopa-levodopa D. Riluzole

Correct Answer is C

Explanation

A. Edrophonium is used to diagnose myasthenia gravis, a neuromuscular disorder that causes muscle weakness. It is not used to treat the symptoms described in the question.
B. Prednisone is a corticosteroid used to treat various conditions, including autoimmune diseases and allergies. It is not used to treat Parkinson's disease, which is the most likely diagnosis based on the symptoms described.
C. This medication is the gold standard for treating Parkinson's disease, a neurodegenerative disorder that causes tremors, rigidity, bradykinesia (slowed movements), and postural instability. Carbidopa- levodopa helps to increase dopamine levels in the brain, which can improve motor function and reduce symptoms.
D. Riluzole is used to treat amyotrophic lateral sclerosis (ALS), a neurodegenerative disease that affects motor neurons. It is not used to treat Parkinson's disease.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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