The nurse is caring for an older adult client with sensorineural hearing loss. Which assessment finding does the nurse correlate with the client's health history?
a. History of frequent ear infections
b. Swims frequently
c. Worked in a sawmill for the last 20 years
d. Had a tumor removed from his left ear-drum last year
C
Sensorineural hearing loss is caused by damage to the cochlear hair cells. This damage may be caused by exposure to loud noises, including noise from machinery in factories or sawmills. Tumor removal from the eardrum, swimming, and ear infections do not increase the risk for sensorineural hearing loss because conduction of sound through the nerves is not affected.
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The nurse is caring for a patient with type 1 diabetes mellitus. Which patient statement requires immediate intervention by the nurse?
1. "I am allergic to eggs." 2. "I will take my lispro insulin 15 minutes before I eat breakfast." 3. "I won't mix my cloudy regular insulin with other insulins." 4. "I will not use insulin detemir in my insulin pump."
Which of the following statements made by an older-adult client poses the greatest concern for the nurse conducting an assessment regarding the client's adjustment to the aging process?
1. "I use to enjoy dancing and jogging so much, but now I have arthritis in my knees so that it's hard to even walk." 2. "I've given my grandchildren money for college so they can live a better life than I had." 3. "Growing old certainly presents all sorts of challenges. I wish I knew then what I know now." 4. "As I age I've found its harder to do the things I love doing, but I guess it will all be over soon enough."
What would a nursing education division include in its annual evaluation of the division?
1. Number and type of staff who attend specific programs 2. Cost per educational program 3. Nursing quality improvement data 4. Attendee/participant feedback related to program and outcomes 5. List of equipment and supplies used
Which of the following statements about taking the pulse on an infant is correct?
A) Use the radial pulse for children under age 6. B) Take the infant's pulse when the infant is active. C) Use a stethoscope to take the apical pulse. D) Do not let the infant handle the stethoscope.