The nursing assistive personnel (NAP) reports that the hearing-impaired patient is usually alert and oriented with the hearing aid in place, but the patient is not responding to verbal communi-cation this morning
What action should the nurse implement first? a. Document that the patient's neurological status is poor.
b. Assess the patient for clinical indicators of a stroke.
c. Remove the hearing aid and clean it with a stiff brush.
d. Instruct NAP to check the hearing aid battery.
D
Because the patient is usually alert and oriented, the nurse realizes that the most likely cause of the patient's change in hearing is a defective hearing aid battery. The nurse directs the NAP to check the battery first because this is also a simple factor to eliminate. After checking the batte-ries, the nurse instructs the NAP to clean the hearing aid with the brush supplied by the manu-facturer, which is the brush that the patient uses regularly. The nurse does not know yet whether the patient's neurological status is poor. The NAP reports clinical indicators of normal neurolog-ical function, making a stroke unlikely.
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