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

Answer and Explanation

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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Correct Answer is D

Explanation

A Hydrogen peroxide can be too harsh and irritating to inflamed oral mucosa. It may further aggravate mucositis and delay healing. Therefore, it is not appropriate to recommend rinsing with hydrogen peroxide for a client with mucositis.

B. Brushing for 60 seconds is not enough.

C. Dentures can exacerbate mucositis by causing friction and pressure on the gums and oral mucosa. To reduce irritation, clients should remove dentures when not eating to give their gums and oral tissues a chance to rest and recover.

D. Flossing can help remove food particles and plaque from between the teeth, which could otherwise contribute to infection.

A. Arrythmia B. Laryngeal edema C. Hypertension D. Fever

Correct Answer is B

Explanation

B. Laryngeal edema, or swelling of the larynx (voice box), is a hallmark feature of severe anaphylaxis. It can lead to airway obstruction and respiratory distress, which are critical components of an anaphylactic reaction.

A Arrhythmias (abnormal heart rhythms) can occur as a result of various causes, including medications, but they are not specific to anaphylaxis. They may or may not be present during an anaphylactic reaction.

C. Hypertension (high blood pressure) is not a typical feature of anaphylaxis. Instead, hypotension (low blood pressure) is more commonly associated with anaphylactic shock, which is a severe form of anaphylaxis.

D. Fever is not typically associated with anaphylaxis. Anaphylactic reactions typically involve rapid onset of symptoms such as flushing, hives, swelling, respiratory distress, and potentially cardiovascular collapse, but not fever.

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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.)

Nursing Test Bank

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