Question

Which nursing action facilitates communication with a client who has conductive hearing loss caused by otosclerosis? Say the client's name loudly before starting to talk. Use exaggerated lip and mouth movements when talking. Make sure to face the client when speaking.

Answer 1

To aid communication with a client who has conductive hearing loss from otosclerosis, nurses should face the client during conversations, as visual cues are crucial. Hearing aids that use bone conduction and cochlear implants may also be beneficial in such cases.

Step-by-step explanation:

The best nursing action to facilitate communication with a client who has conductive hearing loss caused by otosclerosis is to make sure to face the client when speaking. This approach allows the client to use visual cues to better understand the conversation. It is less about the volume of the speech and more about the clarity and visible articulation of words. Additionally, hearing aids designed for conductive hearing loss often press against the bone behind the ear to transmit sound vibrations directly through the skull to the cochlea, bypassing issues in the ear canal or middle ear. In cases where cochlear nerve damage is present, cochlear implants may be an option, as they stimulate the nerves directly, benefiting those with functional nerves but damaged cilia.