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Author Question: A 63-year-old welder who has gone to the clinic for an annual checkup. The patient shares a concern ... (Read 37 times)

ETearle

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on: Jul 22, 2018
A 63-year-old welder who has gone to the clinic for an annual checkup. The patient shares a concern regarding difficulty hearing conversations at the coffee shop in the mornings.
 
  After looking in his ears to determine if there is a build-up of cerumen, the nurse tells the patient that the hearing loss may be associated with his occupation or it may be associated with aging. The nurse is aware that hearing loss associated with the aging process is known as which of the following? a. Tinnitus
  b. Mnire's disease
  c. Presbycusis
  d. Presbyopia

Question 2

A postoperative abdominal surgery patient has been admitted to the surgical floor. The nurse is aware that wound healing is delayed owing to complications.
 
  Which conditions would prevent normal wound healing at the surgical site? (Select all that apply.) a. Dehiscence
  b. Evisceration
  c. Erythema and edema at the suture site
  d. Hemostasis
  e. Hemorrhage


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amcvicar

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Reply #1 on: Jul 22, 2018
Answer to Question 1

C
Hearing changes often associated with aging include decreased hearing acuity, speech intelligibility, and pitch discrimination, which is referred to as presbycusis. Low-pitched sounds are easiest to hear, but it is difficult to hear conversation over background noise. A decrease in active sebaceous glands causes the cerumen to become dry and completely obstruct the external auditory canal. Tinnitus is commonly caused by ototoxicity and patients experience the sensation of ringing in the ears. Presbyopia refers to the gradual decline in ability of the lens to accommodate or focus on close objects and reduces ability to see near objects clearly. Although the cause of Mnire's disease is unknown the symptoms include progressive low-frequency hearing loss, vertigo, tinnitus, and a full feeling or pressure in the affected ear.

Answer to Question 2

A, B, E
Complications of wound healing include any of the following: hemorrhage, hematoma, infection, dehiscence, and evisceration. Hemostasis is a normal response to healing, not a complication. Erythema and edema at the suture site is a normal response that occurs in the inflammation phase; it is not a complication.


ETearle

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Reply #2 on: Jul 22, 2018
Thank you!


amcvicar

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Reply #3 on: Jul 22, 2018
Always glad to help...


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