Id 383697935 a nurse is performing an external and

39. 39.ID: 383697935
A nurse is performing an external and ophthalmoscopic examination of an older client.
Which age-related change would the nurse would expect to note?

40. 40.ID: 383699523
A nurse is reviewing the medical record of an older client with presbycusis. Which of the
following findings would the nurse expect to note in the client's record?
o Unilateral conductive hearing loss
o Difficulty hearing low-pitched tones
o Difficulty hearing whispered words in the voice test Correct
o Improved hearing ability during conversational speech
Rationale: Presbycusis, a sensorineural hearing loss, is the most common form of hearing
loss in older adults. Typically the loss is bilateral, resulting in difficulty hearing high-
pitched tones. The condition is revealed when the client has difficulty hearing whispered
words in the voice test and difficulty hearing consonants during conversational speech.
Test-Taking Strategy: Use the process of elimination. Eliminate the option containing the
words "increased hearing." Recalling that the hearing loss in presbycusis is bilateral will
assist you in eliminating the option containing the word “unilateral.” For you to select
from the remaining options, it is necessary to know that the client has difficulty hearing
high-pitched tones (not low-pitched tones). Review age-related changes in hearing if you
had difficulty with this question.
References: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-
centered collaborative care. (6th ed., p. 1130 ). St. Louis: Saunders.