To decrease the risk for future hearing loss, which action should ...

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To decrease the risk for future hearing loss, which action should the nurse who is working with college students at the on-campus health clinic implement?
 
  a. Arrange to include otoscopic examinations for all patients.
  b. Administer influenza immunizations to all students at the clinic.
  c. Discuss the importance of limiting exposure to amplified music.
  d. Perform tympanometry on all patients between the ages of 18 to 24.

Question 2

A patient who has bacterial endophthalmitis in the left eye is restless, frequently asking whether the eye is healing, and whether removal of the eye will be necessary.
 
  Based on the assessment data, which nursing diagnosis is most appropriate at this time?
  a. Grieving related to current loss of functional vision
  b. Anxiety related to the possibility of permanent vision loss
  c. Situational low self-esteem related to loss of visual function
  d. Risk for falls related to inability to see environmental hazards

[srodz]

Answer to Question 1

ANS: C
The nurse should discuss the impact of amplified music on hearing with young adults and discourage listening to very amplified music, especially for prolonged periods. Tympanometry measures the ability of the eardrum to vibrate and would not help prevent future hearing loss. Although students are at risk for the influenza virus, being vaccinated does not help prevent future hearing loss. Otoscopic examinations are not necessary for all patients.

Answer to Question 2

ANS: B
The patient's restlessness and questioning of the nurse indicate anxiety about the future possible loss of vision. Because the patient can see with the right eye, functional vision is relatively intact. There is no indication of impaired self-esteem at this time.

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TYSM

[alexanderhamilton]

Excellent