When doing the initial assessment on a patient with a hearing deficit, the patient reports that he often feels off balance and that he is dizzy when he stands up. These symptoms could be explained by:

1. sinus infections.
2. rubella.
3. otalgia.
4. presbycusis.


1
Sinus infections can be an acute cause of hearing problems.

PTS: 1 DIF: Cognitive Level: Analysis REF: 1199, Box 52-1
OBJ: 1 TOP: Hearing Assessment—Past Medical History
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity

Nursing

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The nurse knows that a client who has panic attacks when she sees waterfalls because she had been physically assaulted in a park with a waterfall, would benefit from the feature of cognitive and behavioral treatment of:

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A client from another culture tells the nurse that he is constipated. The initial action by the nurse in this situation is which of the following?

1. Determine what the client means by constipation 2. Obtain an order for a laxative and an enema if needed 3. Encourage the client to increase fluid intake and activity 4. Assess the diet for adequacy of fiber and fluids

Nursing

The nurse takes into consideration that as a precaution the teenage girl who is to receive Accutane (13-cis-retinoic acid) would also be given a prescription for:

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Nursing