What is the most appropriate nursing intervention for a patient with presbycusis?
Speak clearly and distinctly while facing the patient.
Place needed articles within easy reach.
Orient the patient to time and place as needed.
Announce your presence when entering the patient's room.
The Correct Answer is A
A. Speak clearly and distinctly while facing the patient: Presbycusis is age-related hearing loss, especially for high-pitched sounds; facing the patient allows for lip-reading and better auditory cues.
B. Place needed articles within easy reach: This is more relevant for fall prevention or physical limitations, not specifically hearing loss.
C. Orient the patient to time and place as needed: This intervention is for cognitive deficits such as dementia or delirium.
D. Announce your presence when entering the patient's room: While polite and helpful, it does not address the communication barrier caused by presbycusis as effectively as clear speech.
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Related Questions
Correct Answer is C
Explanation
A. Changes in the lens
Related to vision changes (e.g., presbyopia), not hearing.
B. Hardening of the outer ear canal
Can cause conductive hearing loss, but presbycusis is sensorineural in nature.
C. Atrophic changes in the cochlea
Presbycusis is due to degeneration of the cochlea and auditory nerve, a normal age-related change.
D. Ototoxicity from medications
This causes pathologic hearing loss, not the gradual, age-related loss seen in presbycusis.
Correct Answer is ["B","C","D","E","F"]
Explanation
A. Intellectual capability: Intellectual ability generally remains intact with age, unless affected by disease such as dementia.
B. Tolerance for extremes in temperature: Decreases due to impaired thermoregulation and thinner skin.
C. Total body water: Decreases, making older adults more susceptible to dehydration and electrolyte imbalances.
D. Force of pulse: May decrease due to decreased cardiac output and vascular elasticity.
E. Pulmonary gas exchange: Decreases due to changes in alveolar surface area and chest wall compliance.
F. Conduction speed of CNS impulses: Decreases, leading to slower reaction times and reflexes.
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