The nurse admits a patient who wears a hearing aid for surgery. Which method should the nurse use to assess the patient's hearing acuity with the hearing aid in place?
a. Whisper very softly behind the patient.
b. Cover the patient's unaffected ear before talking.
c. Send the hearing aid to the audiologist for analysis.
d. Check patient response using a normal voice level.
D
The nurse needs to determine the patient's hearing ability with the hearing aid in place and both ears available to hear. The nurse speaks with the patient in a normal tone of voice, assesses the patient's ability to respond properly, and asks the patient whether this is baseline hearing acuity. If the patient has difficulty hearing the nurse with normal conversation, the nurse conducts a more detailed assessment and ensures that the hearing aid battery is good. The nurse performs the assessment before surgery to alert the surgical team to the patient with a sensory impairment so an alternative method of communication may be identified. Whispering is a hearing acuity test used to evaluate a patient without hearing aids. The nurse avoids sending the hearing aid to an audiologist because the nurse is able to determine whether the patient can hear.
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