The nurse is taking the history of a patient who may have a ...

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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 2

During 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.

[atrochim]

Answer to Question 1

ANS: D
Typically with perforation, ear pain occurs first, stopping with a popping sensation, and then drainage occurs.

Answer to Question 2

ANS: C
Asians and Native Americans are more likely to have dry cerumen, whereas Blacks and Whites usually have wet cerumen.

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