Difficulty: Medium
Average Score: 90%
Simulated
Passage / Scenario
History and PhysicalDay 1
Client works as a firearms instructor at a shooting range.
Hypertension
Heart failure
Osteoarthritis
Medication Administration Record
Day 1:
Gentamycin 500 mg by mouth (PO) daily
Bumetanide 2 mg PO daily
Naproxen 250 mg PO daily
Nurses' Notes
6 months later:
Client reports having trouble hearing in noisy places.
Client states they are hearing sounds as muffled.
Diagnostic Results
6 months later:
Audiometer test with hearing loss at 39 dB
A nurse is reviewing a client's medical record. Select the 4 findings that place the client at risk for hearing impairment.
Correct answer
B,C,D,E
Rationale
Employment at a shooting range, gentamycin, naproxen, and bumetanide are risk factors for hearing impairment due to noise exposure and ototoxicity.