The nurse is providing education for the parents of a 7-month-old ...

[nevelica]

The nurse is providing education for the parents of a 7-month-old child who has just been diagnosed with a hearing loss. What guidance should the nurse provide?
 
  1. Expect that the child will be enrolled in a special hearing intervention program immediately.
  2. Keep your child in a quiet environment until additional testing is done.
  3. Interventions to support hearing are not useful until the child is at least 9 months old.
  4. Hearing loss is not serious until 1 year of age.

Question 2

The nurse suspects that the client has a hearing disorder; however, the client denies not being able to hear. What initial assessment technique should the nurse employ?
 
  1. Schedule a Weber and Rinne test.
  2. Observe the client's interaction with significant others.
  3. Use an otoscope to visualize the inner ear.
  4. Confront the client with the nurse's suspicion.

[xthemafja]

Answer to Question 1

Correct Answer: 1
Rationale 1: The Centers for Disease Control and Prevention (CDC) expects that all infants identified with hearing loss will receive early intervention services prior to age 36 months.
Rationale 2: The child should be stimulated with color, smells, body positions, and textures to develop compensatory mechanisms for the hearing loss.
Rationale 3: The Centers for Disease Control and Prevention (CDC) expects that all infants identified with hearing loss will receive early intervention services prior to age 36 months.
Rationale 4: Hearing loss is serious from birth.

Answer to Question 2

Correct Answer: 2
Rationale 1: The Weber and Rinne test may be a part of assessment, but will not yield as much information as the simple observation.
Rationale 2: The most telling of these options would be to observe the client's interactions with significant others. The nurse should assess for frequent requests to repeat, inattention to conversation, turning one ear to the conversation, and lip-reading.
Rationale 3: Use of an otoscope may be a part of assessment, but will not yield as much information as the simple observation.
Rationale 4: The client has already denied a hearing problem, so confronting the client with the nurse's suspicion will probably only serve to alienate the client from the nurse.

[nevelica]

Thanks

[xthemafja]

Welcome