NSG 3023 CHAPTER 38 QUIZ

NSG 3023 CHAPTER 38 QUIZMULTIPLE CHOICE 1. 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 ANS: C Hearing changes often associated with aging include decreased hearing acuity, speech intelligibility, and pitch discrimination, which is referred to as presbycusis. Low-pitched sounds are easiest to hear, but it is difficult to hear conversation over background noise. A decrease in active sebaceous glands causes the cerumen to become dry and completely obstruct the external auditory canal. Tinnitus is commonly caused by ototoxicity and patients experience the sensation of ringing in the ears. Presbyopia refers to the gradual decline in ability of the lens to accommodate or focus on close objects and reduces ability to see near objects clearly. Although the cause of Ménière’s disease is unknown the symptoms include progressive low-frequency hearing loss, vertigo, tinnitus, and a full feeling or pressure in the affected ear. PTS: 1 DIF: Cognitive Level: Remembering (Knowledge) REF: 1113 | 1114 OBJ: Discuss common sensory changes that occur with aging. TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity 2. 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 ANS: B