Author Question: An older adult client says, I can't seem to hear as well as I could when I was younger. Which ... (Read 92 times)

cherise1989 · **on:** Jun 25, 2018

An older adult client says, I can't seem to hear as well as I could when I was younger. Which diagnosis does the nurse anticipate for this client?

1. Presbycusis.
2. Mastoiditis.
3. Otitis media.
4. Otitis externa.

Question 2

The nurse is assessing the oral cavity of a client and notes a blackish, furry-looking coating on the tongue. Which question to the client is most appropriate based on this initial data?

1. Have you eaten licorice lately?
2. How often do you brush your tongue?
3. Have you recently taken antibiotics?
4. Have you ever had this happen before?

scikid · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
Age-related changes include loss of low- and high-frequency hearing, also known as presbycusis. Mastoiditis is a complication of either a middle ear infection or a throat infection. The client would complain of pain or tenderness behind the ear. Otitis media is an infection of the middle ear producing a red, bulging eardrum, fever, and hearing loss. Otitis externa is an infection of the outer ear, often called swimmer's ear. Otitis externa causes redness and swelling of the auricle and ear canal.

Answer to Question 2

Correct Answer: 3
The presence of a black, furry-looking coating on the tongue is usually related to an overgrowth of fungus due to inhibition of normal bacteria due to antibiotic use. This finding is not related to poor oral hygiene practices. It is unrelated to food intake such as eating licorice. It may helpful for the nurse to determine if the condition has occurred previously but it is not the most important question. The nurse should question the client regarding recent antibiotic use.