As part of a health promotion initiative, a public health nurse ...

[bobbysung]

As part of a health promotion initiative, a public health nurse is meeting with a group of older adult residents of an assisted living facility.
 
  Which of the following teaching points about hearing loss in the elderly should the nurse include in the teaching session?
  A)
  It is actually a myth that seniors have worse and worse hearing as they age.
  B)
  Most hearing loss in older adults is the result of easily fixed problems, such as impacted ear wax.
  C)
  Experts don't quite know what causes seniors to lose their hearing with age, but drugs like aspirin can contribute to the problem.
  D)
  With older adults, the goal is to adjust lifestyle to accommodate diminished hearing rather than trying to treat the hearing loss itself.

Question 2

Which of the following patients would be considered high risk for developing papilledema? Select all that apply.
 
  A)
  A 2-year-old patient who has a shunt placed following delivery where he was diagnosed with hydrocephalus
  B)
  A 55-year-old male with substernal chest pain radiating down both arms and experiencing nausea
  C)
  A 43-year-old male with diabetes, renal insufficiency, and BP 200/107
  D)
  A 25-year-old motorcyclist who was in an accident and has a potential subdural hematoma
  E)
  An 18-year-old female complaining of severe cramps with her menstrual bleeding

[mfedorka]

Answer to Question 1

Ans:
C

Feedback:

Presbycusis is an identified phenomenon that is thought to be multifactorial, and ototoxic drugs are known to contribute significantly to hearing loss in the elderly. Sensorimotor etiologies are most common, and while lifestyle modifications are often necessary, this does not rule out treatment of the hearing loss.

Answer to Question 2

Ans:
A, C, D

Feedback:

The most common conditions causing increased intracranial pressure include cerebral tumors, subdural hematoma, hydrocephalus, and malignant hypertension. Possible MI is not one of the causes of increased intracranial pressure.