Author Question: An older person reports hearing whistling in both ears when no external sounds are present and is ... (Read 55 times)

jjjetplane · **on:** Jul 11, 2018

An older person reports hearing whistling in both ears when no external sounds are present and is diagnosed with tinnitus. Which of the following are causes of tinnitus? (Select all that apply.)

a. Exposure to loud noises
b. Use of a hearing aid
c. Cerumen buildup
d. Side effects of medications
e. Age-related changes in the middle and inner ear

Question 2

A 74-year-old client who has experienced a progressive loss of hearing acuity in recent years ob-tains a new hearing aid. Which of the following should be included in the nurse's teaching plan?

a. Many people find that hearing aids only help with certain types of hearing loss that are caused by previous noise exposure.
b. With the right hearing aid, you can ex-pect your hearing to be back to normal.
c. Hearing aids are covered by Medicare Part B.
d. Even though hearing aids will help you, they also bring challenges like distorted speech and amplified background noise.

bubulittle310@msn.cn · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: A, C, D
Hearing aids are not known as a cause or a trigger to worsen tinnitus and are at times used to am-plify environmental noise to mask tinnitus. Tinnitus is not an age-related change, although it oc-curs in about 11 of individuals who have presbycusis. Exposure to loud noise and cerumen buildup are known to exacerbate or cause tinnitus. Over 200 prescription and nonprescription medications have tinnitus as a side effect. There are also many ototoxic medications.

Answer to Question 2

ANS: D
Hearing aids do bring challenges, such as distorted speech and amplified background noise. Alt-hough hearing aids are not indicated for all individuals with hearing loss, they are not restricted to those with hearing loss due to excessive noise exposure. Hearing aids do not restore hearing to normal. Medicare does not cover the cost of hearing aids.