A nurse is preparing to start an IV infusion of Lactated Ringer's for a client who sustained a burn injury. The client is prescribed 5,200 mL of fluid over the first 24 hr. How many milliliters of fluid will the client receive in the first 8 hours? Record your answer.

Choice A reason: This is correct because hearing loss is the most common complaint associated with a problem involving the inner ear. The inner ear consists of the cochlea, which is the organ of hearing, and the vestibular system, which is the organ of balance. The inner ear converts sound waves into nerve impulses that are sent to the brain. Any damage or dysfunction of the inner ear can impair hearing and cause hearing loss.
Choice B reason: This is incorrect because tinnitus is not the most common complaint associated with a problem involving the inner ear, but rather a symptom that can occur with various ear problems. Tinnitus is a ringing, buzzing, or hissing sound in the ears that is not caused by an external source. Tinnitus can be caused by exposure to loud noise, ear infections, earwax buildup, aging, or certain medications, but it is not specific to the inner ear.
Choice C reason: This is incorrect because pruritus is not a complaint associated with a problem involving the inner ear, but rather a complaint associated with a problem involving the outer ear. Pruritus is itching of the skin that can be caused by dryness, irritation, infection, or allergy. Pruritus can affect the outer ear, which is the visible part of the ear that collects and directs sound waves into the ear canal, but it has no relation to the inner ear.
Choice D reason: This is incorrect because muffled sounds are not a complaint associated with a problem involving the inner ear, but rather a complaint associated with a problem involving the middle ear. Muffled sounds are sounds that are unclear or distorted due to reduced sound transmission or perception. Muffled sounds can be caused by fluid buildup, inflammation, infection, or perforation of the eardrum in the middle ear, which is the air-filled space between the eardrum and the inner ear that contains three tiny bones that amplify sound vibrations.

Choice A reason: This is the correct answer because the Amsler grid test is performed to diagnose macular degeneration. The Amsler grid is a pattern of straight lines with a dot in the center. The client is asked to look at the dot and report any distortions or missing areas in the grid. This can indicate damage to the macula, which is the central part of the retina that provides sharp vision.

Choice B reason: This is incorrect because the Snellen chart test is not performed to diagnose macular degeneration. The Snellen chart is a chart of letters of different sizes that are read from a distance. The client is asked to read the smallest line they can see clearly. This can indicate visual acuity or sharpness of vision, but not macular degeneration.

Choice C reason: This is incorrect because the intraocular pressure test is not performed to diagnose macular degeneration. The intraocular pressure test measures the pressure inside the eye using a device called a tonometer. The client may feel a puff of air or a gentle touch on their eye. This can indicate glaucoma, which is a condition where increased pressure damages the optic nerve, but not macular degeneration.

Choice D reason: This is incorrect because the refraction test is not performed to diagnose macular degeneration. The refraction test measures how well the eye bends light rays using a device called a phoropter. The client looks through different lenses and reports which ones make their vision clearer. This can indicate refractive errors such as nearsightedness, farsightedness, or astigmatism, but not macular degeneration.