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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Body Image: Body image stressors relate to how a person perceives their physical self. This is not relevant to the scenario of work and family stress.

B. Self-esteem: Self-esteem stressors relate to a person’s sense of self-worth. While stress from work and family can affect self-esteem, the primary issue here is more related to role performance.

C. Role performance: Role performance stressors relate to how well an individual perceives they are fulfilling their roles in life, such as work, parenting, or caregiving. The client’s stress about balancing work and family responsibilities indicates a role performance issue. This is the correct answer.

D. Identity: Identity stressors involve a person’s sense of who they are. While stress from work and family can affect identity, the primary issue here is more specifically related to role performance.

A. Have the client breath into a paper bag. B. Plan to administer insulin to the client. C. Plan to administer sodium bicarbonate to the client. D. Have the client place their head between their knees.

Correct Answer is A

Explanation

A. Have the client breathe into a paper bag. Breathing into a paper bag helps retain CO₂, which can correct respiratory alkalosis caused by hyperventilation.

B. Plan to administer insulin to the client. Insulin is used to manage hyperglycemia or diabetic ketoacidosis, not respiratory alkalosis.

C. Plan to administer sodium bicarbonate to the client. Sodium bicarbonate is used to treat metabolic acidosis, not respiratory alkalosis.

D. Have the client place their head between their knees. This position is not a standard intervention for respiratory alkalosis or hyperventilation.

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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.

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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.