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. Black, tarry stool is indicative of blood that has been digested in the upper GI tract. The dark color is due to the action of digestive enzymes on blood.
B. Clay-colored stool is typically associated with biliary obstruction, not upper GI bleeding.
C. Watery stool can be caused by various conditions, including infections, inflammatory bowel diseases, and medications. It is not a specific indicator of upper GI bleeding.
D. Bright red blood in the stool is more likely to be associated with lower GI bleeding, such as from hemorrhoids or anal fissures.

A. Retinal detachment B. Cataracts C. Age-related macular degeneration D. Open-angle glaucoma

Correct Answer is A

Explanation

A. Floaters and flashes of light are classic symptoms of retinal detachment. When the retina begins to detach from the underlying tissue, it can cause these visual disturbances. Floaters are small, shadowy shapes that move across the field of vision, while flashes of light can occur due to the retina being stretched or pulled.
B. Cataracts primarily cause blurred vision, difficulty seeing at night, and sensitivity to light, rather than floaters or flashes of light.
C. AMD generally affects central vision and can cause symptoms such as distorted vision, difficulty seeing in low light, and a loss of central vision. While AMD can cause vision changes, it is not typically associated with seeing floaters and flashes of light.
D. Open-angle glaucoma usually progresses slowly and is often asymptomatic in its early stages. It primarily affects peripheral vision, leading to a gradual loss of vision in the periphery.

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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?

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