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Author Question: An older patient is diagnosed with sensorineural hearing loss. The nurse knows that causes of ... (Read 81 times)

Bob-Dole

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An older patient is diagnosed with sensorineural hearing loss. The nurse knows that causes of sensorineural hearing loss include: (Select all that apply.)
 
  a. tumors of the middle ear.
  b. cerumen impaction.
  c. infections of the external and middle ear.
  d. age-related hearing impairment.
  e. excessive and loud noise.

Question 2

The nurse is most concerned by observing when assisting with an older client's bath:
 
  a. A firm, irregularly-shaped, pink-colored nodule
  b. A slightly raised multicolor lesion with an asymmetrical, irregular border
  c. A pearly papule with prominent blood vessels
  d. Rough, scaly, sandpaper-like patches that are slightly tender



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lou

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Answer to Question 1

ANS: D, E
A, B, and C are all associated with conductive hearing loss. Age-related hearing impairment, or presbycusis, is a form of sensorineural hearing loss. Excessive and loud noise can cause noise-induced hearing loss, which is also a common type of sensorineural hearing loss.

Answer to Question 2

ANS: B
A slightly raised multicolor lesion with an asymmetrical irregular border is characteristic of mela-noma that accounts for less than 5 of skin cancer cases, but it causes most skin cancer deaths. A firm, irregularly-shaped, pink-colored nodule or persistent red lesion is characteristic of squamous cell carcinoma. A pearly papule with prominent blood vessels is a characteristic of a basal cell carcinoma. A tender, rough, scaly, sandpaper-like patch is a characteristic of actinic keratoses (a precancerous lesion).




lou

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