A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the following factors should the nurse include in the teaching? (Select all that apply.)
Perforation of the eardrum
Born with a high birth weight
Frequent exposure to low-volume noise
Chronic infections of the middle ear
Use of a loop diuretic
Correct Answer : A,D,E
A A perforated eardrum can lead to conductive hearing loss, where sound waves cannot efficiently travel through the middle ear to the inner ear.
D. Chronic infections of the middle ear (otitis media) can cause damage to the delicate structures of the middle ear, including the ossicles (bones) and the eardrum, leading to conductive hearing loss or, if severe and untreated, sensorineural hearing loss.
E. Loop diuretics such as furosemide can sometimes cause ototoxicity, which means they can damage the inner ear and lead to hearing loss. This is an important consideration for individuals who are prescribed loop diuretics for medical conditions.
B. High birth weight is not typically considered a significant risk factor for hearing loss unless it was associated with other complications that affected the ears during infancy or childhood.
C. Frequent exposure to low-volume noise is not typically associated with an increased risk of hearing loss
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Related Questions
Correct Answer is D
Explanation
D. This practice is recommended to maintain catheter patency and prevent occlusion.
A Changing the transparent membrane dressing is typically done every 5 to 7 days, not daily, unless it's soiled or compromised.
B. Accessing the catheter with a non-coring needle is not applicable in this context as PICC lines are already in place and do not require such needles for access.
C. Maintaining a continuous IV infusion is not necessary for a client receiving intermittent IV bolus medication and could increase the risk of complications without providing any benefit in this scenario.
Correct Answer is C
Explanation
C. The CPM machine should be used during designated therapy sessions as prescribed by the healthcare provider. Turning it off during meals allows the client to focus on eating without interference from the machine.
A The range of motion settings on the CPM machine should be adjusted gradually according to the client's tolerance and prescribed therapy plan. Rapidly increasing the range of motion could cause discomfort, pain, or even injury to the client's knee joint. Therefore, the nurse should not increase the range of motion rapidly.
B Storing the CPM machine on the floor is not ideal because it can increase the risk of contamination or damage to the equipment. The machine should be stored on a clean, stable surface when not in use to prevent accidental damage or exposure to dirt and debris.
D. Regular checks of the CPM machine's settings are important, but every 12 hours may not be frequent enough to ensure the machine is functioning correctly and safely.
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