A client has a noise-induced hearing loss that occurred after he repeatedly fired a rifle during target practice. In additional to being counseled to avoid behaviors that cause a hearing deficit, the client should also be counseled about:
1. Wearing protective devices.
2. Gun safety.
3. Low-frequency hearing losses.
4. Sign language.
Wearing protective devices.
Rationale: A noised-induced hearing loss resulting from a single exposure will usually resolve with rest and removal of the noise. Continuous exposure can cause permanent damage. Protective devices are essential in preventing hearing loss. Gun safety is important, but only the noise factors into a hearing loss. Loud noises cause high-frequency hearing losses. The client does not have a permanent loss at this point; sign language classes are premature.
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