Page 1961 - Saunders Comprehensive Review For NCLEX-RN
P. 1961

FIG. 56-4  Anatomy of hearing loss. Hearing loss can be divided into 3 types: (1)
                          conductive (difficulty in the external or the middle ear); (2) sensorineural (difficulty in the
                             inner ear or vestibulocochlear nerve); and (3) mixed conductive-sensorineural (a
                                                   combination of the two).





               Box 56-4

               Signs of Hearing Loss


                  ▪ Frequently asking others to repeat statements

                  ▪ Straining to hear
                  ▪ Turning the head or leaning forward to favor 1 ear
                  ▪ Shouting in conversation
                  ▪ Ringing in the ears
                  ▪ Failing to respond when not looking in the direction of the sound
                  ▪ Answering questions incorrectly
                  ▪ Raising the volume of the television or radio
                  ▪ Avoiding large groups
                  ▪ Better understanding of speech when in small groups
                  ▪ Withdrawing from social interactions




               Box 56-5




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