An older African-American client shares that they, "Don't hear as well as they used to." Responding based on evidence-based data, the nurse will:
a. Inquire as to whether the client has tinnitus
b. Assess the client for middle ear fluid accumulation
c. Ask whether the client has ever been diagnosed with otosclerosis
d. Check the client's ears for a cerumen impaction
ANS: D
Cerumen impaction is the most common and easily corrected of all interferences in the hearing of older people. Individuals at particular risk of impaction are African-Americans. While the other options can result in a hearing loss, they are not seen as frequently.
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