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Module 18.1 Sensory

Hearing Impairment

QuestionAnswer
Table 18-3 Decibel Levels of Everyday sounds. Category: Faint. Give decibel Level(s) and Examples. Pg.1300 Decibel: 20=Leaves Decibel: 30=Quiet library, Whisper
Table 18-3 Decibel Levels of Everyday sounds. Category: Moderate. Give decibel Level(s) and Examples. Pg.1300 Decibel:50=Moderate rainfall Decibel: 60=Dishwasher, Clothes dryer, Normal conversation
Table 18-3 Decibel Levels of Everyday sounds. Category: Very loud. Give decibel Level(s) and Examples. Pg.1300 Decibel: 70= Alarm clock Decibel:80-90= Hair dryer, food processor, snow blower
Table 18-3 Decibel Levels of Everyday sounds. Category: Extremely loud. Give decibel Level(s) and Examples. Pg.1300 Decibel: 90=motorcycle Decibel: 106=Snow blower, Gas-powered lawn mower, sporting event
Table 18-3 Decibel Levels of Everyday sounds. Category: Painful. Give decibel Level(s) and Examples. Pg.1300 Decibel: 120=Siren Decibel: 124=Maximum volume of MP3 ear buds, MRI scanner Decibel: 140= Jet engines, firearms
Table 18-4. Ototoxic Medications. What are some examples of Aminoglycosides? Pg.1300 Tobramycin, Gentamicin, Amikacin
Table 18-4. Ototoxic Medications. What are some examples of Aminoglycosides Uses? Pg.1300 Used: treatment of advanced bacterial infections & TB. Hearing loss: more likely to occur in pts with renal disease or previous hearing difficulty
Table 18-4. Ototoxic Medications. What are some examples of Loop Diuretics? Pg.1300 Bumex, Lasix
Table 18-4. Ototoxic Medications. What are some examples of Loop Diuretics Uses? Pg.1300 Used: Diuretics that affect the loop of henle in the kidney
Table 18-4. Ototoxic Medications. What are some examples of Nonsteroidal Anti-Inflammatory Drug(NSAIDs)? Pg.1300 Ibuprofen, Naproxen, Salicylates
Table 18-4. Ototoxic Medications. What are some examples of Nonsteroidal Anti-Inflammatory Drug(NSAIDs) Uses? Pg.1300 Used: Most commonly used drugs, Used for antipyretics, analgesic, anti-inflammatory agents, & antiplatelet effects. Ototoxic effects likely to occur with higher doses.
At what decibel can hearing loss occur? Pg.1300 85db
The use of what puts young children at a higher risk of hearing loss? Pg.1300 ear buds and head phones
What are some warning signs that auditory damage has occurred? Pg.1300 inability to hear another individuals voice from a distance of 3ft away, muffled sound perception, ringing in ears, or ear pain
What medication is used in the treatment of many solid cancerous tumors, are most ototoxic, & are widely prescribed? Pg 1300 Platinum coordination complexes (cisplatin)
What does conductive hearing loss involve? Pg.1300 An equal loss at all sound frequencies
What does sensorineural hearing loss involve? Pg.1300 Typically affects the ability to hear high-frequency tones more than low-frequency tones
What populations are affected by hearing loss? Pg.1301 Caucasians are twice as likely than African Americans to have hearing loss. Hispanics are less likely than Non-Hispanics to have difficulty hearing.
Hearing loss of the presbycusis is considered which type of hearing loss? Conductive or Sensorineural. Pg. 1300 Sensorineural
How might a person with presbycusis hearing loss be labeled by family? Pg.1300-1301 unsociable, paranoid, increasingly forgetful, absentminded, "senile"
What might an older adult exhibit if he/she suffers with hearing loss? Pg.1301 Depression, confusion, inattentiveness, tension, negativism
Table. Clinical Manifestations & Therapies: Hearing Impairment. What are the clinical manifestations of Conductive hearing loss? Pg.1301 Equal loss of hearing at all sound frequencies
Table. Clinical Manifestations & Therapies: Hearing Impairment. What are the Clinical therapies of Conductive hearing loss? Pg.1301 Hearing aid, Treatment of underlying causes such as otitis media, Steroids and/or decongestants to reduce inflammation, Surgery
Table. Clinical Manifestations & Therapies: Hearing Impairment. What are the clinical manifestations of Sensorineural hearing loss? Pg.1301 Decreased ability to hear high-frequency tones more than low-frequency tones. Difficulty discriminating speech
Table. Clinical Manifestations & Therapies: Hearing Impairment. What are the Clinical therapies of Sensorineural hearing loss? Pg.1301 Cochlear implant
Table. Clinical Manifestations & Therapies: Hearing Impairment. What are the clinical manifestations of Presbycusis? Pg.1301 Cognitive and affective manifestations such as confusion, forgetfulness, depression, poor health, reduced mobility, withdrawal, signs of impaired hearing, such as cupping a hand around the ear
Table. Clinical Manifestations & Therapies: Hearing Impairment. What are the Clinical therapies of Presbycusis? Pg.1301 Hearing aid, Steroids or decongestants
Table. Clinical Manifestations & Therapies: Hearing Impairment. What are the clinical manifestations of Tinnitus? Pg.1301 Buzzing, roaring, or ringing in the ears (mechanism not fully understood; etiology varies to include noise, ototoxicity, infection, inflammation, or underlying conditions like Meniere disease)
Table. Clinical Manifestations & Therapies: Hearing Impairment. What are the Clinical therapies of Tinnitis? Pg.1301 Treat underlying cause, Tinnitus maskers such as ambient noise
Is Tinnitus associated with conductive or sensorineural? Pg.1301 Both
What are the most common drug-related ototoxic medications? Pg.1301 Salicylate, Quinine, Quinidine
Table 18-5. Communication Techniques for Clients Who Have Hearing Impairment. Describe Cued Speech. Pg.1304 Supplement to lip reading, Eight hand shapes represent groups of consonant sounds and four positions about the face represent groups of vowel sounds
Table 18-5. Communication Techniques for Clients Who Have Hearing Impairment. Describe Oral approach. Pg.1304 Uses only spoken language for face-to-face communication, Avoids use of formal signs; uses hearing aids and residual hearing
Table 18-5. Communication Techniques for Clients Who Have Hearing Impairment. Describe Total communication. Pg.1304 Uses speech and sign, finger-spelling, lip reading, and residual hearing simultaneously, Clients selects communication technique depending on the situation
Table 18-5. Communication Techniques for Clients Who Have Hearing Impairment. Describe Sign language. Pg.1304 A separate language that allows the user to communicate quickly and accurately with others who understand signs, The signs or hand movements represent words or concepts
What devices might aid in promoting concentration and rest in a client with tinnitus? Pg.1304 white or pink noise masking device, make a pleasant sound to the affected ear, allowing the client to block out the abnormal sound
What are some nursing diagnosis for hearing impairment? Pg.1304 o Risk for Injury o Impaired Verbal Communication o Social Isolation
When planning for a patient with a hearing impairment what are some appropriate outcomes? Pg.1304 Remain free from injury, Use hearing protection gear, No further hearing loss, find best method to communicate, Client will continue to be involved in community & not become isolated
How can a nurse promote optimal wellness with a client diagnosed with hearing loss? Pg.1304 Encourage client to talk about loss of hearing, Provide info about type of hearing loss, Replace batteries in hearing aids frequently/prn, Talk with family about communication techniques, check hearing aids for patency, & clean cerumen prn
Created by: Studying_Nurse