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. What is the best goal for pain control in a client with RA?

A. The client will eat healthy meals today and stay hydrated
B. The client will have throughout the entire day
C. The client will have pain less than 3/10 for most of the day
D. The client will have pain less than 8/10 throughout the day

Correct answer: D

Rationale:

3. What is a negative effect of immobility on the cardiovascular system?

A. Increased high density lipoprotein
B. Increased circulation
C. Increased pumping action of the heart
D. Venous stasis

Correct answer: D

Rationale: Venous stasis is a negative effect of immobility on the cardiovascular system as it can lead to blood clots.

4. What statement by the client with plantar fasciitis indicates a need for further teaching?

A. I will use warm packs on my feet.
B. I will use nonsteroidal anti-inflammatory drugs (NSAIDS) for comfort.
C. I will rest and stretch my feet.
D. I will wear supportive shoes.

Correct answer: A

Rationale: The correct answer is A. Using warm packs can exacerbate inflammation in plantar fasciitis. Choices B, C, and D are all appropriate interventions for managing plantar fasciitis. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Resting and stretching the feet can promote healing and reduce symptoms. Wearing supportive shoes can provide stability and reduce strain on the plantar fascia. Therefore, the client's statement about using warm packs indicates a need for further teaching as it can worsen the condition.

5. The nurse is caring for 4 clients. What client should the nurse see first?

A. A client with multiple children visiting
B. A client with lupus asking for dinner
C. A client on Methotrexate with a fever
D. A client with chronic rheumatic pain

Correct answer: C

Rationale: The correct answer is the client on Methotrexate with a fever. Fever in a client on Methotrexate, an immunosuppressant, could indicate a serious infection or adverse drug reaction requiring immediate attention to prevent complications. The other choices do not present immediate life-threatening concerns. A client with lupus asking for dinner can wait, a client with chronic rheumatic pain may need pain management but is not the priority over a fever in a client on Methotrexate, and a client with children visiting does not pose an urgent medical issue.