An older client, reporting a significant loss of hearing after being involved in an explosion, asks the nurse when his hearing will return. Which of the following responses by the nurse is most appropriate at this time?

1. The most common cause of hearing impairments is exposure to loud noises.
2. Hearing loss attributed to loud noises is normally reversible.
3. Loud noises can cause immediate, permanent loss of hearing.
4. Surgery will help restore the hearing you have lost.


3. Loud noises can cause immediate, permanent loss of hearing.

Rationale:
The losses of hearing attributed to loud noises can have an immediate onset. The loss can be profound and permanent. Even though approximately one-third of hearing impairments is associated with loud noises, it does not explain the client's sudden immediate hearing loss. Promising that surgery will restore the client's hearing is inappropriate and may not be correct.

Nursing

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