A client's daughter asks the nurse for assistance in communicating with her mother who has sensorineural hearing loss.
Which point is appropriate for the nurse to teach?

Choice A rationale

Basilar skull fractures can lead to cerebral injuries and CSF leaks, but do not typically cause anoxic brain injury unless they compromise oxygenation or cause cerebral edema severely reducing blood flow.

Choice B rationale

Prolonged submersion compromises oxygen delivery, leading to diffuse cerebral hypoxia or anoxia, the primary cause of brain injury in drowning victims due to interruption of arterial oxygenation over unknown durations.

Choice C rationale

Epidural or subdural hematomas elevate intracranial pressure and compress brain tissue, but they are not as immediately hypoxic as situations involving complete oxygen deprivation like submersion.

Choice D rationale

Prolonged seizures, or status epilepticus, may disrupt normal metabolic processes, potentially causing neuronal injury. However, primary hypoxia is generally less pronounced than in submersion cases.

Choice A rationale

Speaking at increased speed may hinder comprehension in individuals with sensorineural hearing loss, as clarity diminishes with rapid verbalization.

Choice B rationale

Reducing caffeine intake is irrelevant to auditory function; caffeine influences systemic effects but does not aid hearing impairment.

Choice C rationale

Facing the individual directly ensures clear visual cues, including lip reading, critical for communication with sensorineural hearing loss.

Choice D rationale

Varying pitch disrupts consistency in auditory perception; maintaining a steady tone aids clarity for impaired auditory processing.