A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing, especially in large groups. He says that he "can't always tell where the sound is coming from" and the words often sound "mixed up." What might the nurse suspect
as the cause for this change?
a.
Atrophy of the apocrine glands
b.
Cilia becoming coarse and stiff
c.
Nerve degeneration in the inner ear
d.
Scarring of the tympanic membrane
ANS: C
Presbycusis is a type of hearing loss that occurs in 60% of those older than 65 years of age, even in those living in a quiet environment. This sensorineural loss is gradual and caused by nerve degeneration in the inner ear. Words sound garbled, and the ability to localize sound is also impaired. This communication dysfunction is accentuated when background noise is present.
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