Which interventions should the nurse perform when an older patient reports a change in hearing? Select all that apply.
1. Perform a Rinne test.
2. Eliminate extraneous noise.
3. Review prescribed medications.
4. Report the change to the physician.
5. Speak in a tone that includes shouting.
2. Eliminate extraneous noise.
3. Review prescribed medications.
4. Report the change to the physician.
Explanation: 1. A Rinne test is not appropriate at this time because it is a diagnostic test that evaluates air and bone conduction.
2. Eliminating extraneous noise helps most older patients because they first lose high-pitch sounds and sounds become distorted with a combination of TV, visitors, and personnel all talking at the same time.
3. Medications prescribed must be reviewed because many have side effects that cause hearing loss.
4. The physician should be notified of hearing changes to change medications as appropriate and to do referrals as necessary.
5. Speaking in tones that include shouting is not correct because in many cases it increases the pitch of the voice, which is difficult for the older patient to hear and is not helpful.
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