The nurse is providing care for a geriatric patient with loss of hearing acuity over the past several years. Which statement by the nurse is most accurate?

"Many people experience an age-related decline in their hearing."

"You will need to get hearing aids in order to function in society."

"This is often due to an infection that will resolve on its own."

This is likely an effect of your medications. Try stopping them for a few days."

Answer and Explanation

The Correct Answer is A

A.   Age-related hearing loss, also known as presbycusis, is a common condition among older adults. It typically involves a gradual decline in hearing ability due to changes in the inner ear or auditory nerve as people age. This statement acknowledges a common experience and helps normalize the patient's condition without suggesting immediate medical intervention or attributing it to something specific.
B.   While hearing aids can significantly improve the quality of life for individuals with hearing loss, not all cases immediately require them. It’s important to assess the severity of hearing loss and discuss various options with the patient, including potential benefits and drawbacks of hearing aids.
C.   Hearing loss that develops gradually over time is usually related to aging, not an infection. While infections can cause temporary hearing loss, age-related hearing loss is a different issue and is typically not due to an infection.
D.   While some medications can cause temporary or permanent hearing loss as a side effect (a condition known as ototoxicity), it’s important to consult a healthcare provider before making any changes to medication regimens.

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Correct Answer is B

Explanation

A. Canned tomato soup is often high in sodium, and grilled cheese sandwiches typically contain processed cheese, which is also high in sodium.
B. A low-sodium diet is essential for managing heart failure as it helps to reduce fluid retention and decrease the workload on the heart.
C. Frozen lasagna, especially those with a tomato sauce, can be high in sodium. Caesar salad dressing is often made with anchovies and Parmesan cheese, both of which are high in sodium.
D. Deli meats and processed cheese are both high in sodium and should be avoided or consumed in moderation on a low-sodium diet.

A. Loss of central vision and distortion of lines B. Floaters and flashes of light C. Cloudy vision and glaring of lights D. Loss of peripheral vision

Correct Answer is A

Explanation

A. AMD affects the macula, which is responsible for central vision and fine detail. As the condition progresses, patients often experience a gradual loss of central vision, which can make it difficult to read, recognize faces, and perform tasks that require sharp vision. Distortion of straight lines (metamorphopsia) is also common, where straight lines may appear wavy or bent.
B. Floaters and flashes of light are more commonly associated with conditions affecting the vitreous body of the eye or retinal detachment, rather than AMD. These symptoms can occur due to changes in the vitreous gel or as a result of other retinal issues, but they are not the primary symptoms of AMD.
C. Cloudy vision and glare are typically associated with cataracts, not AMD. Cataracts cause the lens of the eye to become cloudy, leading to blurred vision and increased sensitivity to glare. AMD does not cause the lens to cloud, so these symptoms are not characteristic of AMD.
D. Loss of peripheral vision is more characteristic of glaucoma rather than AMD. AMD primarily affects central vision, leaving peripheral vision relatively intact until the disease progresses to an advanced stage. Glaucoma, on the other hand, often leads to a gradual loss of peripheral vision.

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The nurse is providing care for a geriatric patient with loss of hearing acuity over the past several years. Which statement by the nurse is most accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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