An older adult client, reporting a significant loss of hearing after being involved in an explosion, asks when hearing will return. Which response by the nurse is most appropriate?
A) Surgery will help restore the hearing you have lost.
B) The most common cause of hearing impairments is exposure to loud noises.
C) Loud noises can cause immediate, permanent loss of hearing.
D) Hearing loss attributed to loud noises is normally reversible.
Answer: C
The loss of hearing attributed to loud noises can have an immediate onset. The loss can be profound and permanent. Even though approximately one-third of hearing impairments are associated with loud noises, it does not explain the client's sudden immediate hearing loss. Promising that surgery will restore the client's hearing is inappropriate and may not be correct.
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