NSG 3023 CHAPTER 38 QUIZ | GRADED A

A 63-year-old welder who has gone to the clinic for an annual checkup. The patient shares a concern regarding difficulty hearing conversations at the coffee shop in the mornings. After looking in his ears to determine if there is a build-up of cerumen, the nurse tells the patient that the hearing loss may be associated with his occupation or it may be associated with aging. The nurse is aware that hearing loss associated with the aging process is known as which of the following? a. Tinnitus b. Ménière’s disease c. Presbycusis d. Presbyopia A 64-year-old house painter who is seeing his health care provider for his annual checkup. When the nurse asks the patient if they have any health concerns, the patient states, “I don’t think my vision is as good as it used to be, things look more yellow than they used to.” The nurse knows that this is a visual change in older adults caused by which of the following? a. Iris yellows b. Lens yellows c. Retina is hypersensitive d. Need for less light to see than when they were in young adulthood A family member is accompanying the elderly patient to their follow-up appointment after a recent hospitalization for gastrointestinal problems. The nurse interrupts a discussion between the family member and the patient regarding rancid food in the patient’s refrigerator. The family member looks at the nurse and states, “She was trying to eat spoiled food for lunch, it spelled terrible, and she still wanted to eat it.” What is the most likely physiological reason that the patient not realizes that the food is spoiled? a. She has xerostomia. b. She has a diminished sense of smell. c. She has a diminished sense of taste. d. She has a limited vision. The patient has a methicillin-resistant Staphylococcus aureus (MRSA) infection in an abdominal surgical wound. The patient is in a private room, is receiving vancomycin (Vancocin) for the MRSA, and pain is well controlled with a morphine sulfate patient-controlled analgesia (PCA) pump, and is receiving docusate sodium (Colace) to prevent constipation. During the nurse’s rounds, the patient begins complaining of ringing in the ears. Which is the most likely cause for the patient’s tinnitus? a. Surgical anesthesia b. Morphine sulfate c. Vancomycin d. Docusate sodium An elderly patient with diabetes is seeing the health care provider for complaints of visual changes. The patient explains to the nurse that visual changes include distortion that makes the edges of objects appear wavy. The nurse knows that this is an early sign of which of the following? a. Cataracts b. Glaucoma c. Diabetic retinopathy d. Age-related macular degeneration