A nurse is caring for a client.
Exhibits
A nurse is reviewing a client's medical record. Select the 3 findings that place the client at risk for hearing impairment.
Osteoarthritis
Occupation
Furosemide
Hyperlipidemia
Naproxen
Correct Answer : B,C,E
A. Osteoarthritis: Osteoarthritis is a degenerative joint disease that affects the joints, particularly weight-bearing ones, but it does not have a direct impact on hearing. Therefore, it is not a risk factor for hearing impairment.
B. Occupation: Construction workers are often exposed to loud noise, which increases the risk of hearing impairment.
C. Furosemide: Furosemide is a loop diuretic that can cause ototoxicity, leading to hearing impairment.
D. Hyperlipidemia: Hyperlipidemia, characterized by high levels of lipids in the blood, primarily affects cardiovascular health and does not directly contribute to hearing impairment. It is not considered a risk factor for hearing loss.
E. Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that has been associated with ototoxicity and can increase the risk of hearing impairment.
G. Lovastatin: Lovastatin is a statin used to lower cholesterol levels. While statins have side effects, they are not typically associated with ototoxicity or hearing impairment. Therefore, Lovastatin is not a risk factor for hearing loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Increase your daily fluid intake." Increasing fluid intake can help soften the stool, making it easier to pass and reducing constipation.
B. "Try to defecate at different times of the day." Establishing a regular time each day for bowel movements can help train the bowel and prevent constipation.
C. "Consume a low-fiber diet." A low-fiber diet can worsen constipation. A high-fiber diet is recommended to add bulk to the stool and promote regular bowel movements.
D. "Reduce your daily activity." Regular physical activity helps stimulate bowel motility and can reduce the likelihood of constipation.
Correct Answer is A
Explanation
A. Face the client when speaking to them. This is the correct action. Facing the client while speaking helps them use any remaining vision they have to interpret facial expressions and lip movements, which can enhance communication.
B. Open shades on windows in the client's room to provide direct lighting. Direct lighting can cause glare, which may worsen vision impairment. It is better to use indirect lighting to avoid glare.
C. Use gestures to communicate with the client. While gestures can be useful for some individuals, they are not as effective for clients with vision impairment who may not be able to see them clearly.
D. Speak loudly when talking to the client. There is no need to speak loudly unless the client also has a hearing impairment. Speaking loudly could be perceived as shouting, which may be uncomfortable for the client.
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