what are signs of hearing loss select all that apply

ATI RN

Multi Dimensional Care | Final Exam

1. What are signs of hearing loss? (Select all that apply)

A. Answering questions correctly
B. Presence of cerumen
C. Tinnitus
D. Frequent asking of others to repeat statements

Correct answer: C

Rationale: Signs of hearing loss include tinnitus, frequent asking to repeat statements, and shouting in conversations.

2. Which assessment is NOT a nonverbal sing of pain?

A. Decreased attention span
B. Grimacing
C. Increase in heart rate
D. Reported pain of 5/10

Correct answer: D

Rationale:

3. What should the nurse do first if they are stuck by a needle?

A. Seek medical attention
B. Flush the exposed skin with water
C. Complete an incident report
D. Report the exposure

Correct answer: B

Rationale:

4. The nurse is providing medication for a client with osteomyelitis. What teaching should the nurse indicate in the education?

A. The most common adverse e effect for nonsteroidal anti-inflammatory drugs (NSAIDS)are liver failure and tinnitus
B. The main side effect of acetaminophen is gastrointestinal GI bleeding
C. You should not take more than 4000 mg of acetaminophen a day
D. Nonsteroidal anti-inflammatory drugs (NSAIDS) are very safe and are known to have no side effects

Correct answer: A

Rationale:

5. What device would be best to use for a client who is immobile?

A. Standing assist device
B. A mechanical lift
C. Transfer board
D. Gait belt

Correct answer: B

Rationale: A mechanical lift is the most suitable device for a client who is immobile as it provides safe and efficient assistance in moving the individual. A standing assist device is used for support during standing activities, not for transferring an immobile client. A transfer board is helpful for assisting a client in sliding from one surface to another but may not be the best option for someone who is completely immobile. A gait belt is used for providing support and stability during walking or transferring, which may not be effective for a client who is immobile and requires more comprehensive assistance.