The nurse is assessing a 75-year-old patient. Which patient statements would alert the nurse that the patient may have presbycusis? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. "I have lots of earwax in my left ear.".
2. "My ears ring all the time.".
3. "I have a hard time hearing my granddaughter's voice.".
4. "I just can't hear when the room is noisy.".
5. "I woke up this morning unable to hear out my left ear.".
2,3,4
Rationale 1: Presbycusis is usually sensorineural in origin. Excessive earwax causes a correctable conductive hearing loss.
Rationale 2: Tinnitus is common in those diagnosed with presbycusis.
Rationale 3: High-pitched sounds, such as those produced by young females, are often the first tones to be lost when presbycusis is present.
Rationale 4: Inability to hear when there is a lot of background noise is a symptom of presbycusis.
Rationale 5: Presbycusis is a slowly developing condition. Sudden hearing loss is not an expected finding.
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