An employee presents to an occupational health nurse with concerns that their hearing is worse on one side. Which of the following actions should the nurse take first to address the employee's concern?
Conduct a physical examination.
Irrigate the ear to remove any obstruction.
Advise the client on the use of ear plugs.
Refer the client to an audiologist.
The Correct Answer is A
Choice A Reason:
Conducting a physical examination is the first step in addressing the employee's concern about hearing loss. This examination allows the nurse to assess the ear for any visible issues, such as earwax buildup, infection, or structural abnormalities. A thorough physical examination can help identify the cause of the hearing loss and determine the appropriate next steps. It is essential to rule out any immediate and easily treatable conditions before proceeding with more specialized interventions.
Choice B Reason:
Irrigating the ear to remove any obstruction, such as earwax, can be an effective treatment for hearing loss caused by cerumen impaction. However, this should only be done after a physical examination confirms that earwax is the cause of the hearing loss. Irrigation without proper assessment can potentially cause harm, especially if there is an underlying infection or perforation of the eardrum.
Choice C Reason:
Advising the client on the use of ear plugs is a preventive measure to protect hearing, particularly in noisy environments. However, this advice does not address the immediate concern of unilateral hearing loss. Ear plugs are more relevant for preventing further hearing damage rather than diagnosing or treating existing hearing issues.
Choice D Reason:
Referring the client to an audiologist is an important step if the initial physical examination does not reveal the cause of the hearing loss or if the hearing loss persists despite initial treatment. Audiologists specialize in diagnosing and treating hearing disorders and can perform comprehensive hearing tests. However, this referral should come after the nurse has conducted a preliminary assessment to rule out any obvious and treatable causes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A: Incubation Period
The incubation period refers to the time between exposure to an infectious agent and the appearance of symptoms. During this stage, the pathogen is multiplying within the host, but there are no visible signs or symptoms of the disease. Primary prevention methods, such as education about safe sex practices and vaccination, are not typically associated with this stage because they aim to prevent the initial exposure to the pathogen.
Choice B: Stage of Clinical Illness
The stage of clinical illness is when the disease manifests with recognizable symptoms and signs. At this point, the focus is often on secondary prevention (early detection and treatment) and tertiary prevention (managing symptoms and preventing complications). Primary prevention methods are less relevant during this stage because the goal is to prevent the disease from occurring in the first place, rather than managing it after symptoms appear.
Choice C: Stage of Recovery, Disability, or Death
This stage represents the outcomes of the disease, where the individual either recovers, experiences long-term disability, or dies. Interventions at this stage are typically tertiary prevention measures, aimed at rehabilitation and reducing the impact of the disease. Primary prevention methods are not applicable here, as they are intended to prevent the disease from occurring initially.
Choice D: Stage of Susceptibility
The stage of susceptibility is the period before the disease process begins, where individuals are at risk of developing the disease. Primary prevention methods are most effective during this stage, as they aim to reduce the risk of exposure to the pathogen and enhance the individual's resistance to infection. Examples include education on safe sex practices, vaccination, and promoting healthy behaviors to prevent sexually transmitted infections⁴⁵.
Correct Answer is C
Explanation
Choice A: "I Think That I Missed Two Math Tutoring Classes Last Week, But I Can Still Catch Up."
This statement indicates that the client is aware of their academic responsibilities and is optimistic about catching up. Missing a couple of classes is not uncommon, and the client's positive attitude towards catching up is a good sign. This statement does not indicate an immediate need for intervention regarding their mental health.
Choice B: "I Have Not Used Drugs in 6 Weeks."
This statement is positive and indicates progress in the client's efforts to stay away from substance use. It shows that the client is making strides towards healthier behaviors, which is a crucial aspect of their overall well-being. This statement does not require immediate intervention but should be acknowledged and supported.
Choice C: "I Don't Have Anyone I Can Talk to About My Problems."
This statement is concerning and indicates a lack of social support, which is critical for someone with a history of depression and suicidal ideation. Feeling isolated and having no one to talk to can exacerbate feelings of depression and increase the risk of suicidal thoughts. This statement requires immediate intervention to ensure the client receives the necessary support and resources to address their feelings of isolation.
Choice D: "I Have Been Participating in My Local YMCA After-School Dance Program Again."
This statement is positive and indicates that the client is engaging in social and physical activities, which can be beneficial for their mental health. Participation in such programs can provide a sense of community, improve mood, and reduce feelings of isolation. This statement does not require immediate intervention but should be encouraged and supported.
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