The nurse is assessing the tympanic membrane of a client and notes the presence of a darkened area. Based on this assessment data, which does the nurse suspect?
1. Acute otitis media.
2. Recent trauma.
3. Blocked Eustachian tubes.
4. History of frequent middle ear infections.
Correct Answer: 2
The presence of a darkened area on the tympanic membrane is most likely due to blood in the middle ear and may be indicative of recent trauma. Acute otitis media is associated with a reddish or yellowish tinge on the tympanic membrane. A blocked Eustachian tube will cause the tympanic membrane to retract. Previous middle ear infections will result in white patches noted on the tympanic membrane that indicate scarring.
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