The nurse is testing the hearing of a 78-year-old man and is reminded of the changes in hearing that occur with aging that include which of the following? Select all that apply
a. Hearing loss related to aging begins in the mid 40s.
b. Progression of hearing loss is slow.
c. The aging person has low-frequency tone loss.
d. The aging person may find it harder to hear consonants than vowels.
e. Sounds may be garbled and difficult to localize.
f.
Hearing loss reflects nerve degeneration of the middle ear.
ANS: B, D, E
Presbycusis is a type of hearing loss that occurs with aging and is found in 60% of those older than 65 years. It is a gradual sensorineural loss caused by nerve degeneration in the inner ear or auditory nerve, and it slowly progresses after the age of 50 years. The person first notices a high-frequency tone loss; it is harder to hear consonants (high-pitched components of speech) than vowels, which makes words sound garbled. The ability to localize sound is also impaired.
You might also like to view...
A 42-year-old male patient is brought to the emergency department by ambulance. The patient is in distress. The nurse suspects an anaphylactic reaction resulting from taking oral penicillin
What assessment findings are important in making this diagnosis? A) Blood pressure (BP): 186/100, difficulty breathing B) Hematocrit (Hct): 32%, decreased urine output C) Temperature: 102ยบ, swollen joints D) Profuse sweating, Blood Pressure: 92/58
The nurse is caring for an older adult client with decreased energy who needs to get up to prevent the development of pressure ulcers. The client is unable to ambulate and wants to be alone. What should the nurse do?
A) Notify the healthcare provider of the client's noncompliance. B) Leave the client alone until ready to get out of bed. C) Gain knowledge about the client from family to gain compliance. D) Proceed to get help to get the client out of bed.
An older patient diagnosed with type 2 diabetes mellitus has been prescribed a combination of long and short-acting insulin. What should be included in the nurse's medication instruction?
1. Mixtures of insulin preparations with different onsets and durations of action are often given in a single injection to simplify the dosing. 2. When medications are mixed together it is cost-effective, using only one syringe per administration time. 3. Insulin mixtures allow the medication to be distributed more deeply into the subcutaneous layer of tissue and allow for better absorption. 4. Insulin combinations reduce the incidence of complications to the patient and to the injection site.
Nonsurgical treatment for BPH includes use of:
a. alpha blockers or finasteride c. belladonna and opium suppositories b. an indwelling urinary catheter d. meperidine