A patient diagnosed with profound noise-induced hearing loss (NIHL) states, "I am going to wear ear protection at work from now on. How long before my hearing gets better?" How should the nurse respond?
1. "If you rest your ears from noise, you should be back to normal in a week or so.".
2. "As soon as the inflammation in your ear canal clears, your hearing will be much better.".
3. "Often the nerve damage in your type of hearing loss is permanent, and hearing does not improve.".
4. "It is too late to use ear protection now.".
3
Rationale 1: With profound NIHL, it is unlikely that hearing will ever return to normal.
Rationale 2: NIHL is not caused by inflammation of the ear canal.
Rationale 3: NIHL is caused by nerve damage. The nerve endings do not regenerate, and hearing loss is permanent.
Rationale 4: The patient should protect the remaining hearing.
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