Author Question: A nurse notes that a client who has heart failure could hear well during the last home visit, and is ... (Read 42 times)

justinmsk · **on:** Jul 11, 2018

A nurse notes that a client who has heart failure could hear well during the last home visit, and is having difficulty hearing today. Which of the following laboratory findings is most likely associated with impaired hearing?

A) Albumin of 4.1
B) Creatinine of 4.2
C) Potassium of 4.3
D) Sodium of 144

Question 2

A nurse is teaching a group of hearing-impaired nursing home residents about hearing aids. Which of the following points should the nurse emphasize?

A) It is not necessary to use the hearing aid for one-on-one conversations.
B) The hearing aid should be used only in the dining room or social area.
C) While inserting the hearing aid, make sure the volume is turned off.
D) If whistling is heard, the volume of the hearing aid may need to be increased.

Tonny · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

Ans: B
Older adults with heart failure are at increased risk for hearing loss caused by medications (e.g., diuretics) and decreased renal and cardiac perfusion. Normal levels of albumin, potassium, and sodium are not associated with hearing loss.

Answer to Question 2

Ans: C
The hearing aid should be inserted with the volume off with the canal portion pointing into the ear. A hearing aid should be used for one-on-one conversation and should not be used in a dining room where there is background noise. If whistling is heard, the volume should be decreased.