An older man who has tinnitus complains to the nurse that it is ...

[Garrulous]

An older man who has tinnitus complains to the nurse that it is very annoying. Which should the nurse implement to alleviate the stress he is experiencing from tinnitus?
 
  a. Irrigate the bilateral Eustachian tubes.
  b. Assess for modifiable risk factors.
  c. Propose a hearing aid and a masker.
  d. Use white noise to override the tinnitus.

Question 2

In which areas have advanced practice nurses demonstrated their skill in improving? (Select all that apply.)
 
  a. Health outcomes
  b. Length of stay
  c. Cost effectiveness
  d. Reimbursement measures
  e. Interprofessional communication

[xoxo123]

Answer to Question 1

B
The nurse assesses the patient for risk factors potentially contributing to tinnitus that can be al-tered such as smoking cigarettes, consuming caffeine, drinking alcohol, experiencing fatigue, and taking medications that carry a high risk of causing tinnitus. Removing these potential offenders can help give the patient a sense of control, as well as provide potential relief from tinnitus. The nurse irrigates the external auditory canal for impacted cerumen to decrease the risk of tinnitus.. Although a hearing aid and a masker have the potential to alleviate tinnitus, introducing them can also serve as a potential source of additional stress, depending on the financial and functional status of the individual. Although white noise has the potential to alleviate tinnitus, it can be ineffective or serve as a potential source of additional stress.

Answer to Question 2

A, C
Advanced practice nurses have demonstrated their skill in improving health outcomes and cost effectiveness. Many of these advanced practice nurses have nursing facility practices managing complex care of frail older adults in collaboration with interprofessional teams. This role is well established, and positive outcomes include increased patient and family satisfaction, decreased costs, less frequent hospitalizations and emergency department visits, and improved quality of care. Reimbursement measures and interprofessional communication have not been identified as areas that advanced practice nurses have demonstrated their skill in improving.

[Garrulous]

Great answer, keep it coming

[helenmarkerine]

Thanks for the timely response, appreciate it