A nurse is teaching a group of clients about causes for developing hearing loss, which of the following risk factors should the nurse include in the teaching?

Alcohol use disorder

Prolonged exposure to loud noises

Exposure to environmental toxins

Contact with excessive heat

Answer and Explanation

The Correct Answer is B

A. Alcohol use disorder. While alcohol use disorder can lead to various health issues, it is not a direct cause of hearing loss.

B. Prolonged exposure to loud noises. Prolonged exposure to loud noises is a well-known risk factor for noise-induced hearing loss. This includes occupational noise exposure and listening to loud music.

C. Exposure to environmental toxins. Some environmental toxins, like certain chemicals and heavy metals, can lead to ototoxicity, which can damage the auditory system and cause hearing loss.

D. Contact with excessive heat. Excessive heat exposure is not directly linked to hearing loss. Hearing loss is more related to factors like noise exposure, ototoxic substances, and infections.

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Correct Answer is A

Explanation

A. Heart rate: Adequate fluid resuscitation in burn patients helps to restore intravascular volume, improving circulation and perfusion. A decrease in heart rate indicates improved cardiac output and reduced compensatory tachycardia, suggesting adequate fluid replacement.

B. Weight: Fluid replacement can lead to an increase in weight due to the volume of fluids administered, not a decrease.

C. Urine output: Adequate fluid resuscitation typically increases urine output as renal perfusion improves.

D. Blood Pressure (BP): While BP can stabilize with adequate fluid resuscitation, it is not as direct an indicator as a decrease in heart rate in reflecting improved perfusion and hydration status.

A. Keep family members aware of his condition. B. Talk with the client during wound care. C. Rotate nursing staff so he can have varied interactions. D. Assign assistive personnel to keep his room neat and clean.

Correct Answer is B

Explanation

A. Keep family members aware of his condition: While important, keeping family informed is not as directly impactful on the client’s emotional support as direct interaction with the client.

B. Talk with the client during wound care. Talking with the client during wound care can help to establish a trusting relationship, provide emotional support, and help the client cope with the pain and stress associated with burn treatment.

C. Rotate nursing staff so he can have varied interactions: Continuity of care is often more comforting to clients than having varied interactions.

D. Assign assistive personnel to keep his room neat and clean: This task is important for infection control but does not directly provide emotional support.

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A nurse is teaching a group of clients about causes for developing hearing loss, which of the following risk factors should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who was admitted with a severe burn injury and is receiving IV fluid resuscitation therapy. The nurse should identify a decrease in which of the following findings as an indication of adequate fluid replacement?

Correct Answer is A

Explanation

A nurse is developing a plan of care for a client who is rehabilitating from major burns. Which of the following interventions should the nurse include to provide emotional support?

Correct Answer is B

Explanation

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