A 62-year-old who has worked on an assembly line since he was 24 ...

[asan beg]

A 62-year-old who has worked on an assembly line since he was 24 years old began taking aspirin for arthritis 6 months ago. The client presents to the nurse with hearing problems and ringing in the ears.
 
  Which of the following problems should the nurse suspect?
 
  A) Tinnitus
  B) Vertigo
  C) Ototoxicity
  D) Impacted cerumen

Question 2

A intensive care nurse cares for an 83-year-old with sepsis. The client exhibits illogical thinking and agitation. Which intervention should the nurse implement? (Select all that apply.)
 
  A) Administer a benzodiazepine.
  B) Assess for pain.
  C) Assure a quiet, dark sleep time.
  D) Initiate fall prevention program.
  E) Post pictures of client's family in room.

[Sammyo]

Answer to Question 1

Ans: C
The older adult has symptoms of ototoxicity. Aspirin is a known ototoxic drug. Tinnitus is the persistent sensation of ringing in the ears, which is one of this client's symptoms. Vertigo is a sensation of motion, which is not a reported symptom for this client. Although common, impacted cerumen would not lead to ringing in the ears.

Answer to Question 2

Ans: B, C, D, E
Older clients with infection and those in the ICU are at great risk for delirium. Sleep, rest, pain control, and familiar items are interventions to minimize delirium. The client is a greater risk for falls so a fall prevention program should be initiated. Benzodiazepines should be avoided.