A nurse is assisting in caring for an adolescent who has partial hearing loss and wears a hearing aid. Which of the following observations require further follow-up by the nurse? (Select All that Apply.)

A. Frequent scratching may indicate skin irritation, pressure sores, or allergic reaction to the hearing aid or its components. This requires nursing follow-up to prevent infection and ensure proper fit and comfort. B. Requesting a sign language interpreter is an adaptive strategy for communication and does not indicate a problem with the hearing aid or a complication. It reflects appropriate accommodation for their partial hearing loss. C. Whistling or feedback from a hearing aid usually indicates improper fit, blockage, or malfunction, which requires adjustment or repair by an audiologist. This is a safety and functional concern that needs follow-up. D. Using closed captions is a normal and effective coping strategy for individuals with partial hearing loss. It does not suggest a problem with the hearing aid or the child’s health. E. Lip reading is a compensatory communication skill for partial hearing loss. It is a normal adaptation and does not require follow-up unless it interferes with other activities or indicates social withdrawal.