A patient who is employed as a waitress in a new restaurant says, "The restaurant plays loud rock music all the time

Do you think my hearing is in danger?" What information should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "If you have to shout to ask customers for their orders, the noise level is probably toxic.".
2. "If your ears ring or buzz when you leave work, you are at risk for hearing loss.".
3. "Be alert for ear pain during or after work.".
4. "As long as your work shifts are shorter than 8 hours, you should not be in danger of hearing loss.".
5. "Most hearing loss is caused by a single very loud noise accompanied by pressure changes on the eardrum.".


1,2,3
Rationale 1: The patient should be able to hear and be heard without shouting from a distance of 3 feet. If the patient has to shout to be heard when taking orders, the noise level is probably over 85 decibels, which is in the dangerous range.
Rationale 2: Ringing or buzzing of the ears is a warning sign of hazardous noise exposure.
Rationale 3: Pain in the ears after leaving a noisy area is a warning sign of hazardous noise exposure.
Rationale 4: Frequent exposure to high levels of noise can cause hearing loss.
Rationale 5: This statement represents the physics of an explosion, which can cause hearing loss but is not the most common etiology.

Nursing

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The nurse wishes to teach an alternative coping strategy to a client who is currently experiencing severe anxiety. The nurse will first need to __________.

a. use measures designed to lower the client's anxiety. b. determine the mode of learning preferred by the client. c. devise outcomes and construct a teaching plan. d. assess the degree of trait anxiety present.

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What findings should alert the nurse to a potential complication in a patient with Zika virus?

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When doing routine cleaning of a double-lumen tracheostomy tube, the nurse should include which action?

a. Place the patient supine. b. Reinsert the inner cannula without touch-ing the faceplate of the tracheostomy tube. c. Rinse the inner cannula in a basin of hy-drogen peroxide. d. Clean the inner cannula with a pipe clean-er.

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