A 63-year-old welder who has gone to the clinic for an annual checkup. The patient shares a concern regarding difficulty hearing conversations at the coffee shop in the mornings
After looking in his ears to determine if there is a build-up of cerumen, the nurse tells the patient that the hearing loss may be associated with his occupation or it may be associated with aging. The nurse is aware that hearing loss associated with the aging process is known as which of the following? a. Tinnitus
b. Ménière's disease
c. Presbycusis
d. Presbyopia
C
Hearing changes often associated with aging include decreased hearing acuity, speech intelligibility, and pitch discrimination, which is referred to as presbycusis. Low-pitched sounds are easiest to hear, but it is difficult to hear conversation over background noise. A decrease in active sebaceous glands causes the cerumen to become dry and completely obstruct the external auditory canal. Tinnitus is commonly caused by ototoxicity and patients experience the sensation of ringing in the ears. Presbyopia refers to the gradual decline in ability of the lens to accommodate or focus on close objects and reduces ability to see near objects clearly. Although the cause of Ménière's disease is unknown the symptoms include progressive low-frequency hearing loss, vertigo, tinnitus, and a full feeling or pressure in the affected ear.
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Which actions show the nurse has an understanding of the role documentation plays in minimizing the risk of malpractice? Select all that apply
a. Including patient quotes to document subjective symptomology b. Supporting documentation with personal opinions of the patient's behaviors c. Being mindful to use correct spelling and punctuation in the documentation d. Using common abbreviations in order to keep documentation brief and concise e. Documenting the nursing evaluation of the patient's understanding of all instruc-tions
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a. exercise regularly and walk around before boarding the flight b. get a prescription for heparin therapy and take it before the flight c. drink water and get up every hour for at least 5 minutes during the flight d. Elevate the legs as much as possible during and after the flight
The staff development trainer is preparing content on the psychologic implications of genetic testing for a group of neonatal intensive care nurses. What should the trainer include in this instruction? Select all that apply
1. Survivor guilt of other nonaffected children 2. Feelings of unworthiness and altered self-image 3. Carrier status interfering with relationships 4. Formation of higher expectations for the child 5. Stress of uncertainty while waiting for test results