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A client with a conductive hearing disorder caused by ankylosis of the stapes in the oval window undergoes a stapedectomy to remove the stapes and replace the impaired bone with a prosthesis. After the stapedectomy, the nurse should provide which client instruction?

a) "Shampoo your hair every day for 10 days to help prevent ear infection."

b) "Lie in bed with your head elevated, and refrain from blowing your nose for 24 hours."

c) "Don't fly in an airplane, climb to high altitudes, make sudden movements, or expose yourself to loud sounds for 30 days."

d) "Try to ambulate independently after about 24 hours."

•Early symptoms of hearing loss (Tinnitus: "ringing in the ears", Increased inability to hear in a group, turning up the volume on the TV)
• Impairment may be gradual and not recognized by the person experiencing the loss

• As hearing loss increases, person may experience deterioration of speech, fatigue, indifference, social isolation or withdrawal, and other symptoms

• Patient may be at risk for safety concerns due to the inability to hear alarms, cars, people shouting, etc.

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