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Questions and Answers
What underlying condition is likely causing the 75-year-old woman's decreased sensory response indicated by the open wound on her foot?
Which factor is most likely contributing to the woman's elevated blood sugar level?
What is the primary reason for conducting a hearing test in a newborn?
What is the nurse's best approach when a mother questions the importance of a hearing test for her newborn?
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Why is decreased appetite a concerning symptom in the adult male patient after pneumonia?
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What should the nurse avoid suggesting to the male patient with decreased appetite?
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Which of the following is NOT a plausible cause for decreased sensation in the 75-year-old woman?
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Which statement accurately summarizes the nurse's interpretation of the woman's condition?
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What type of hearing loss results from interference of transmission of sound to the middle ear?
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What is the most appropriate action for a child experiencing acoustic feedback from a hearing aid?
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What device is surgically implanted to provide hearing sensation for those with severe sensorineural hearing loss?
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What is considered the most common cause of hearing impairment in children?
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Which type of hearing loss is characterized by defects in sensory structures?
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A child with hearing aids is experiencing discomfort from feedback. What could most likely cause this issue?
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An implanted device for providing auditory perception to individuals with hearing loss is usually referred to as what?
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Which of the following is NOT a common cause of childhood hearing loss?
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What assessment should the nurse prioritize while the patient is receiving a hypertonic solution?
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Which finding indicates improvement in a patient with low serum total protein levels receiving protein supplements?
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Based on the provided arterial blood gas results, how should the nurse interpret a pH of 7.32 and HCO3 of 16 mEq/L?
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What medication should the nurse be concerned about for a patient with a serum potassium level of 3.0 mEq/L?
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What is a potential complication of administering hypertonic solutions that the nurse should monitor for?
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In assessing fluid balance, which finding would suggest that protein supplementation is effective?
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What assessment finding is least indicative of a patient's protein status?
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What laboratory value would most likely be observed in a patient with metabolic acidosis?
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What is the appropriate action to reduce symptoms during an acute attack of Ménière's disease?
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Which action should the patient avoid when self-administering eardrops?
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How should the nurse adjust communication with an older patient who is hard of hearing?
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What should a patient do when first using binaural hearing aids?
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What is an essential consideration when teaching a patient about cochlear implants?
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What is a recommended practice when managing a patient's acute phase of Ménière's disease?
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Which statement best reflects appropriate self-care for a patient using eardrops?
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When fitting a patient with hearing aids, which information should be emphasized?
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What is the most appropriate action for a nurse to take when a patient on a potassium-wasting diuretic presents with generalized weakness?
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Which statement by a patient using spironolactone indicates effective teaching regarding potassium management?
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What should the charge nurse do when admitting a patient with new-onset confusion and hyponatremia?
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Which symptom is primarily associated with hypokalemia?
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When managing a patient treated with spironolactone, which food recommendation is least appropriate?
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What nursing concern is most important for a patient experiencing hyponatremia?
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Which of the following is a potential risk for a patient receiving potassium chloride for severe hypokalemia?
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What is a potential misunderstanding regarding the use of salt substitutes for a patient taking spironolactone?
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Study Notes
Emergency Department Assessment
- A 75-year-old woman presents with "not feeling well" and multiple concerning vital signs
- Blood pressure: 145/95 mmHg
- Pulse: 85 bpm
- Respirations: 24 breaths/min
- Blood sugar: 300 mg/dL
- The nurse notes an open wound on the patient's foot, but the patient is unaware of it
- This indicates a potential sensory impairment, likely related to diabetes
- Diabetes can cause decreased sensation in the extremities
- The high blood sugar level further supports this diagnosis
- Antihypertensive medications don't typically cause decreased skin sensation
- It's important to rule out cognitive impairment
Newborn Hearing Screening
- The nurse discusses the importance of hearing screening in newborns
- The primary rationale is to identify hearing loss early and provide interventions to promote language development
Adult Male with Decreased Appetite
- A male patient complains of decreased appetite after completing antibiotics for pneumonia
- This is a common side effect of antibiotics
- This is not related to altered sense of smell, fluid intake, or positioning
Home Health Care: Eardrops
- A patient receiving home health care demonstrates a misunderstanding of eardrop administration
- Refrigerating eardrops can cause dizziness due to stimulating the semicircular canals
- Other aspects of eardrop administration are correct: leaving the ear wick in place, holding the dropper above the ear, and lying down before and after administration
Older Patient with Hearing Loss
- An older patient repeatedly requests the nurse to "speak up"
- The appropriate nursing action is to speak normally but more slowly
- Increasing volume, overenunciating, and using exaggerated facial expressions are not effective
Patient with Presbycusis and Binaural Hearing Aids
- A patient with presbycusis (age-related hearing loss) is fitted with binaural hearing aids
- Initially, the patient should experiment with the aids in a quiet environment, adjusting the volume as needed
- Both hearing aids should be used simultaneously
Cochlear Implant Considerations
- Information to include for a patient considering a cochlear implant:
- Cochlear implants are surgically implanted devices
- They provide a sensation of hearing for individuals with severe or profound sensorineural hearing loss
Prevention of Childhood Hearing Loss
- The most common cause of hearing impairment in children is chronic otitis media
- It's vital for parents to understand the importance of treating ear infections promptly and preventing recurrences
Patient with Hypokalemia
- A patient taking a potassium-wasting diuretic for hypertension complains of generalized weakness
- This indicates potential hypokalemia
- The nurse should alert the health care provider immediately
- A basic metabolic panel is essential to confirm the diagnosis and monitor potassium levels
Spironolactone (Aldactone) Teaching
- A patient taking spironolactone, a potassium-sparing diuretic, should prioritize low-potassium foods to avoid hyperkalemia
- Examples of low-potassium foods include apple juice
- Avoid salt substitutes, which are high in potassium
- Increase fluid intake is not recommended for a patient taking a diuretic
New-Onset Confusion and Hyponatremia
- A patient with new-onset confusion and hyponatremia should be placed near the nurse's station for close monitoring
- The nurse should avoid placing the patient near a water fountain as water intake is typically restricted to help improve sodium levels
IV Potassium Chloride (KCl) Administration
- When administering IV potassium chloride, the nurse should prioritize monitoring lung sounds
- Hypertonic solutions can cause water retention and may lead to pulmonary edema
- Other important assessments include peripheral pulses, peripheral edema and urinary output
Effectiveness of Protein Supplements
- A long-term care resident with a low serum total protein level is receiving protein supplements
- Decreased peripheral edema indicates an improvement in the patient's protein status
Assessing Acid-Base Balance
- A patient presents with lethargy, deep rapid respirations, and the following ABG results:
- pH 7.32
- PaO2 88 mmHg
- PaCO2 37 mmHg
- HCO3 16 mEq/L
- These results indicate metabolic acidosis
Hypokalemia and Digoxin Toxicity
- A patient on diuretic therapy presents with a serum potassium level of 3.0 mEq/L
- The nurse should immediately alert the health care provider about the patient's digoxin (Lanoxin) medication
- Hypokalemia increases the risk of digoxin toxicity, which can cause dangerous dysrhythmias
Hypercalcemia
- A patient has a calcium level of 12.1 mg/dL
- This indicates hypercalcemia, which needs to be addressed by the healthcare provider
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Description
Test your knowledge on emergency department assessments, including patient presentations like diabetes complications and the significance of newborn hearing screenings. This quiz will challenge your understanding of vital signs, sensory impairments, and early detection in infants.
