The client's chart indicates a sensorineural hearing loss. What assessment question does the nurse ask to determine the possible cause?
a. "Do you feel like something is in your ear?"
b. "Do you have frequent ear infections?"
c. "Have you been exposed to loud noises?"
d. "Have you been told your ear bones don't move?"
ANS: C
Sensorineural hearing loss can occur from damage to the cochlea, the eighth cranial nerve, or the brain. Exposure to loud music is one etiology. The other questions relate to conductive hearing loss.
You might also like to view...
A community health nurse is preparing a presentation for a group of local community nurses about measures to decrease health disparities. Which of the following would be the least effective suggestion?
A) Avoiding political involvement in issues B) Working with schools to reduce the dropout rate C) Organizing task forces to raise community awareness D) Holding community meetings to identify needs
A nurse providing prenatal care to a pregnant woman is addressing measures to reduce her postpartum risk of cystocele, rectocele, and uterine prolapse. What action should the nurse recommend?
A) Maintenance of good perineal hygiene B) Prevention of constipation C) Increased fluid intake for 2 weeks postpartum D) Performance of pelvic muscle exercises
When caring for a patient, a nurse maintains an environment that is free of negative energy. The nurse is demonstrating care based on nursing theorist
1. Imogene King. 2. Betty Neuman. 3. Martha Rogers. 4. Sister Callista Roy.
While preparing to insert an intravenous access device into the arm of a school-age child, the child's mother ask if the device can be placed in the left hand so the child can do homework with the right hand
What should the nurse respond to the mother? A) "Let's take a look at the left hand first.". B) "It's a doctor's decision to decide the best site.". C) "It would be better for him to wait and be surprised.". D) "I doubt it; most children have better veins on the right.".