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39. 39.ID: 383697935A 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: 383699523A 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? oUnilateral conductive hearing loss oDifficulty hearing low-pitched tones oDifficulty hearing whispered words in the voice test Correct oImproved hearing ability during conversational speech Rationale: Presbycusis, a sensorineural hearing loss, is the most common form of hearingloss 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.