A 53-year-old client with a sensorineural hearing loss asks the nurse how this occurred. Which of the following responses would be most appropriate?
A) "This is not uncommon in people your age because your eardrum is hardening."
B) "You probably have a lot of wax buildup that is interfering with hearing sounds."
C) "Your work in the factory exposed you to loud noises over a long time."
D) "You have a history of fluid building up in your middle ear, which is responsible."
C
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The nurse understands the most significant laboratory study for the client who is HIV positive is the
a. CD4+ cell count. b. enzyme-linked immunosorbent assay (ELISA) test. c. total white blood cell count. d. Western blot test.
An infant at 36 weeks of gestation has increasing respirations (80-100 breaths per minute with marked substernal retractions). The infant is given oxygen by nasal continuous positive airway pressure (CPAP)
Which of the following arterial oxygen levels would indicate hy-poxia? 1. PaO2 of 67 2. PaO2 of 89 3. PaO2 of 45 4. PaO2 of 73
Following the acute inflammatory phase of rheumatic fever, which of the following cardiac pathologies is evident?
a. enlargement of the heart b. inflammation of the pleura c. changes in the firing from the Purkinje fibers with irregular beats d. valvulitis with the most affected valve being the mitral valve
The nurse is preparing to administer 10 a.m. medications to a group of clients on a medical–surgical unit. Which medications will bypass the first-pass effect of the liver?
Standard Text: Select all that apply. 1. Topical nitroglycerin 2. Sublingual nitroglycerin 3. Rectal diazepam 4. Buccal nitroglycerin 5. IV diazepam