The nurse admits the client who wears a hearing aid for surgery. Which does the nurse use to assess the client's hearing acuity with the hearing aid in place?
1. Whispers very softly behind the client
2. Covers the client's unaffected ear to talk
3. Sends the aid to audiologist for analysis
4. Checks client response to a normal voice
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4. The nurse needs to determine the client's hearing ability with the hearing aid in place, so the nurse speaks with the client in a normal tone of voice, assesses the client's ability to respond properly, and asks the client whether this is baseline hearing acuity. If the client has difficulty hearing the nurse with normal conversation, the nurse conducts a more detailed assessment as well as ensuring that the hearing aid battery is good. The nurse performs the assessment preoperatively to alert the surgical team to the client with a sensory impairment and successful methods of communi-cation for the client.
1. Whispering is a hearing acuity test used to evaluate client's without hearing aids.
2. The nurse evaluates the client's hearing acuity with the hearing aid in place and while the client uses both ears for the initial assessment.
3. The nurse avoids sending the hearing aid to an audiologist because the nurse is able to determine whether the client can hear.
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