The nurse suspects that a patient has otitis media. Early signs ...

[tatyanajohnson]

The nurse suspects that a patient has otitis media. Early signs of otitis media include which of these findings of the tympanic membrane?
 
  a. Red and bulging
  b. Hypomobility
  c. Retraction with landmarks clearly visible
  d. Flat, slightly pulled in at the center, and moves with insufflation

Question 2

The nurse is performing an assessment on a 65-year-old man. He reports a crusty nodule behind the pinna. It intermittently bleeds and has not healed over the past 6 months. On physical assessment, the nurse finds an ulcerated crusted nodule with
 
  an indurated base. The preliminary analysis in this situation is that this:
  a.
  Is most likely a benign sebaceous cyst.
  b.
  Is most likely a keloid.
  c.
  Could be a potential carcinoma, and the patient should be referred for a biopsy.
  d.
  Is a tophus, which is common in the older adult and is a sign of gout.

[mcarey591]

Answer to Question 1

ANS: B
An early sign of otitis media is hypomobility of the tympanic membrane. As pressure increases, the tympanic membrane begins to bulge.

Answer to Question 2

ANS: C
An ulcerated crusted nodule with an indurated base that fails to heal is characteristic of a carcinoma. These lesions fail to heal and intermittently bleed. Individuals with such symptoms should be referred for a biopsy (see Table 15-2). The other responses are not correct.