An older nursing home resident reports that her hearing loss is ...

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An older nursing home resident reports that her hearing loss is getting worse. What is the first action of the nurse?
 
  a. Refer the resident for an evaluation for a hearing aid
  b. Raise her voice when speaking to the res-ident
  c. Examine the resident's ears for cerumen impaction
  d. Teach the resident to read lips

Question 2

An older patient is diagnosed with diabetic retinopathy. The patient asks a nurse: Is there any-thing that I can do to prevent progression of this disease and blindness? The nurse includes which of the following into the response? (Select all that apply
 
  a. Strict control of blood glucose levels is important in slowing disease progression
  b. Laser photocoagulation treatments can stop progression of the disease
  c. Control of blood pressure and cholesterol levels are important steps slowing disease progression
  d. Wearing sunglasses to protect the eyes from ultraviolet light can stop disease pro-gression
  e. Eating a diet high in beta-carotene can stop disease progression

[wilsonbho]

Answer to Question 1

ANS: C
When hearing loss is suspected or a person with existing hearing loss experiences increasing dif-ficulty, it is important to first check for cerumen impaction. Hearing aids are not the first inter-vention since the cause of the hearing loss has not been determined. Hearing aids do not help all type of hearing losses. Raising one's voice is not effective; it often makes hearing more difficult. Lip reading may be a useful skill for an individual with hearing loss, but it is critical to first as-certain what the cause of the hearing loss is.

Answer to Question 2

ANS: A, B, C
Constant strict control of blood pressure, blood glucose, and cholesterol and laser photocoagula-tion treatments can halt progression of the disease. Laser treatment can reduce vision loss in 50 of patients. Neither protecting the eyes from ultraviolet light nor eating a diet high in be-ta-carotene has been proven to be effective in stopping disease progression.

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Excellent

[Jsherida]

TYSM