Question 1 of 6
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Which factor, if present in the patient’s history, would the nurse associate with a patient’s complaint of tinnitus?
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- The patient takes a zinc supplement.Taking zinc supplements is not directly associated with tinnitus.
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- The patient is a high school student.Being a high school student is not directly associated with tinnitus.
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- The patient takes large doses of aspirin.Initially, ototoxicity often manifests with tinnitus. Evidence links excessive doses of aspirin to ototoxicity.
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- The patient has gastroenteritis and slight dehydration.Having gastroenteritis and slight dehydration is not directly associated with tinnitus.
Question 2 of 6
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The nurse is caring for a patient diagnosed with vertigo. Which patient teaching point is important for the nurse to include?
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- Epley maneuvers can help with symptoms.Epley maneuvers are a series of head movements that can be done at home to move the calcium crystals that cause the vertigo symptoms.
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- The attacks will usually only last a few minutes.Attacks can last from a few minutes to hours.
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- Movement can help improve the symptoms of vertigo.Movement exacerbates symptoms of vertigo, so the patient should lie as still as possible during attacks.
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- It is fine to go to the bathroom without calling for help if you are not experiencing an episode of vertigo.The patient should call for help going to the bathroom even if not experiencing an acute episode of vertigo to prevent falls.
Question 3 of 6
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Which nursing intervention is most appropriate for a patient with vertigo related to increased pressure in the inner ear?
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- Encourage fluid intake.For a patient with increased pressure in the inner ear, fluid intake should be limited.
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- Provide a low-sodium diet.A low sodium diet can improve symptoms of vertigo related to increased inner ear pressure.
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- Provide smoking cessation resources.Smoking cessation resources should be provided to the patient, but this is not the most appropriate intervention based on the patient’s specific condition.
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- Educate the patient about decreasing stress.The patient should be educated about ways to decrease stress and healthy coping strategies, but this is not the most appropriate intervention based on the patient’s specific condition.
Question 4 of 6
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Which statement would the nurse include in patient teaching for a patient who is interested in learning how to lip read because of worsening hearing loss?
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- Learning to lip read is simple and easy to learn.Learning to lip read is difficult and requires exceptional language skills.
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- Experienced lip readers catch about 80% of words spoken to them.Experienced lip readers do not catch more than half of the words spoken to them.
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- Lip reading is enhanced with other cues such as facial expressions.Lip reading can be enhanced by other nonverbal clues such as facial expressions and hand gestures.
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- Almost all of the sounds in the English language can be identified by lip reading.Only about 60% of the sounds in the English language can be identified with lip reading.
Question 5 of 6
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Which information would the nurse include in the discharge teaching for a patient with new hearing aids? Select all that apply. One, some, or all responses may be correct.
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- Style your hair before putting your hearing aids in.Hairspray can damage the microphone of a hearing aid, so the patient should be instructed to style their hair before putting the hearing aids in.
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- Avoid dropping your hearing aids to prevent damage.Patients should be instructed to handle their hearing aids gently and avoid dropping them to prevent damage.
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- You should not need any further adjustments to the hearing aids.It can take a while to adjust to hearing aids, so it is likely that the patient will need to return to the audiologist for several adjustments.
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- See your audiologist frequently to keep your hearing aids in good working order.Seeing an audiologist regularly ensures that hearing aids last a long time and remain in good working order.
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- The hearing aids will restore your hearing to your baseline level of hearing.Hearing aids can improve hearing, but they do not return hearing levels to normal.
Question 6 of 6
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A patient with newly prescribed hearing aids expresses concern about being able to hear effectively. Which statement by the nurse is appropriate?
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- “The hearing aids will restore your hearing to normal.”Hearing aids improve hearing, but they do not restore levels to normal.
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- “Telecommunication devices are available that can assist you with hearing and communication.”Telecommunication devices exist that improve hearing and communication. These devices are a combination of a typewriter and telephone and can be used to communicate with someone else with a telecommunication device.
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- “You will need to practice ignoring background noise because hearing aids cannot mask those sounds.”Hearing aids have the ability to mask background noise to improve hearing levels.
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- “Hearing aids work for all patients with hearing loss, so you have nothing to worry about.”Hearing aids do not work for all patients. Other treatment options may be more appropriate.
