When performing a client's physical assessment, the nurse notes that the client has conductive hearing loss. Which finding does the nurse expect to see in the client's medical history?

a. History of diabetes with peripheral neu-ropathy
b. Frequent episodes of otitis media during childhood
c. History of frequent impactions of cerumen in the ear canals
d. History of osteomyelitis treated with IV gentamicin (Garamycin)


B
Chronic middle ear infections can thicken the tympanic membrane, leading to conductive hearing loss. Gentamicin and diabetes mellitus damage the eighth cranial nerve and cause sensorineural hearing loss. Cerumen impaction results in temporary conduction hearing loss.

Nursing

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Why is avoiding sodium bicarbonate an important concern for clients for whom antacids are prescribed to treat gastric disorders?

A) It decreases healing time. B) It increases the incidence of surgical intervention. C) It decreases the absorption of the other drug. D) It is readily absorbed from the gastrointestinal (GI) tract.

Nursing

A PHN is developing a measurable outcome health status indicator that can be used at the indi-vidual level of practice. Which of the following would the nurse most likely use?

a. A 50-year-old woman receives annual mammograms b. School absences in a community decline c. Teachers have increased awareness of health problems d. Those in poverty utilize the free mammo-gram program

Nursing

Which of the following interventions by the nurse is most likely to have a positive influence on the client's adoption of a new healthy behavior?

A) Providing feedback about what the client is doing incorrectly B) Providing feedback about what the client is doing correctly C) Not providing feedback D) Not providing role modeling of the desired change

Nursing

When discussing elder abuse with a senior citizen group, which of the following would the community health include?

A) Older men experienced abuse at a higher rate than elderly women. B) Types of elder abuse include physical abuse, emotional abuse, neglect, and exploitation. C) The majority of cases of elder abuse are perpetrated by persons unknown to the victim. D) Elders with dementia are less likely to be abused since they have less social interactions.

Nursing