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 C
Explanation
C. This statement shows understanding of precautions to prevent exposure to toxoplasmosis, a common opportunistic infection in individuals with compromised immune systems, including those with AIDS. Toxoplasmosis can be transmitted through handling cat feces.
A This statement suggests a general intention to improve nutrition, which is beneficial for overall health but does not specifically address infection control or prevention of opportunistic infections related to AIDS. While a healthy diet supports immune function indirectly, it does not directly demonstrate understanding of specific precautions needed due to AIDS.
B. This statement reflects a misunderstanding because HIV (Human Immunodeficiency Virus), which causes AIDS, does not survive long outside the body and cannot be transmitted through clothing.
Sterilizing clothes at a dry cleaner is unnecessary for preventing the spread of HIV.
D HIV can be effectively killed with regular household cleaners (such as bleach solutions), but alcohol alone may not be sufficient. Proper disposal of contaminated materials is important, but the method described does not accurately reflect infection control measures for HIV.
Correct Answer is B
Explanation
B. After a lumbar puncture, instructing the client to lie flat on their back for a period of time (often 1-2 hours) helps prevent complications such as headaches due to CSF leakage and promotes proper sealing of the puncture site.
A Monitoring blood glucose every 2 hours is not typically necessary immediately following a lumbar puncture unless the client has pre-existing diabetes or there are specific indications to monitor glucose levels
C Tingling in the extremities is not an expected or normal occurrence following a lumbar puncture. It could indicate neurological complications such as nerve irritation or damage, which would require prompt assessment and intervention.
D. The nurse should encourage adequate hydration unless contraindicated by the client's medical condition or specific post-procedure instructions.
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