The nurse is reviewing discharge instructions for a child who has ...

[dbose]

The nurse is reviewing discharge instructions for a child who has received a cochlear implant. In addition to encouraging speech therapy for the child, the nurse will instruct the parents to monitor the child for signs of:
 
  1. Ringing in the ears.
  2. Pharyngitis.
  3. Hearing loss.
  4. Bacterial meningitis.

Question 2

The nurse is beginning to obtain information about the present illness and medical history from the child's family. The zones of space that the nurse should plan to use include the:
 
  1. Social zone.
  2. Public zone.
  3. Intimate zone.
  4. Personal zone.

[EAN94]

Answer to Question 1

4
Rationale 1: This is not a common complication of a cochlear implant.
Rationale 2: Pharyngitis is not associated with cochlear implants.
Rationale 3: The child already has hearing loss. That is why the child receives a cochlear implant.
Rationale 4: There is an increased risk of bacterial meningitis following insertion of a cochlear implant.
Global

Answer to Question 2

4
Rationale:

1. The social zone, 36 feet from the body, can be used when calling individuals from a waiting room.
2. The public zone involves a distance greater than 6 feet away from individuals, and is used during communications with larger groups.
3. The intimate zone of within 18 inches is used during physical assessment.
4. The personal zone, 18 inches to 3 feet, is used when talking to individuals during interviewing and history taking.

[dbose]

Thank you

[EAN94]

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