Author Question: An older client, reporting a significant loss of hearing after being involved in an explosion, asks ... (Read 58 times)

clmills979 · **on:** Jul 22, 2018

An older client, reporting a significant loss of hearing after being involved in an explosion, asks the nurse when his hearing will return. Which of the following responses by the nurse is most appropriate at this time?

1. The most common cause of hearing impairments is exposure to loud noises.
2. Hearing loss attributed to loud noises is normally reversible.
3. Loud noises can cause immediate, permanent loss of hearing.
4. Surgery will help restore the hearing you have lost.

Question 2

Several older adult clients in the nurse's care report growing concerns about their dental health. They state they need to have dental work done despite continuing the same hygiene habits they have employed for years.

They inquire about the underlying cause for these changes. What information should be given to these clients? 1. Dental health begins to decline with aging.
2. The loss of bone density with aging will result in tooth decay and breakage.
3. Increases in saliva production increase exposure of the tooth's enamel to corrosive agents.
4. Metabolism changes in aging contribute to dental destruction.

medine · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

3. Loud noises can cause immediate, permanent loss of hearing.

Rationale:
The losses of hearing attributed to loud noises can have an immediate onset. The loss can be profound and permanent. Even though approximately one-third of hearing impairments is associated with loud noises, it does not explain the client's sudden immediate hearing loss. Promising that surgery will restore the client's hearing is inappropriate and may not be correct.

Answer to Question 2

2. The loss of bone density with aging will result in tooth decay and breakage.

Rationale:
The changes in bone health from aging will impact dental health. Simply stating that aging causes problems does not meet the client's request for information on an underlying cause. Saliva production decreases with aging. Metabolic changes have not led to the changes.