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Question
mr. sandoval, a resident, used to be very conversant. lately, you have observed that he has not been responding to your questions. when he asked you for water, he yelled at you. at first, you thought he was just in a bad mood. but when he turned his right ear toward you after you said something, you realized what was going on. what is the resident likely experiencing? ch:34 effects of hearing impairment ringing in the ears vertigo otitis media
The resident's behavior of not responding to questions and turning an ear towards the speaker after being yelled at suggests a hearing - related issue. Ringing in the ears can be a sign of hearing impairment and is consistent with the described symptoms. Otitis media is an ear infection, vertigo is related to dizziness, and "effects of hearing impairment" is too general. Ringing in the ears is the most specific and likely answer.
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Ringing in the ears