The nurse is taking the history of a patient who may have a perforated eardrum. What would be an important question in this situation?
a. Do you ever notice ringing or crackling in your ears?
b. When was the last time you had your hearing checked?
c. Have you ever been told that you have any type of hearing loss?
d. Is there any relationship between the ear pain and the discharge you mentioned?
Question 2During an assessment of a 20-year-old Asian patient, the nurse notices that he has dry, flaky cerumen in his canal. What is the significance of this finding? This finding:
a. Is probably the result of lesions from eczema in his ear.
b. Represents poor hygiene.
c. Is a normal finding, and no further follow-up is necessary.
d. Could be indicative of change in cilia; the nurse should assess for hearing loss.
Question 3A 70-year-old patient tells the nurse that he has noticed that he is having trouble hearing, especially in large groups. He says that he can't always tell where the sound is coming from and the words often sound mixed up. What might the nurse suspect
as the cause for this change?
a.
Atrophy of the apocrine glands
b.
Cilia becoming coarse and stiff
c.
Nerve degeneration in the inner ear
d.
Scarring of the tympanic membrane
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