The nurse assisting with a caloric test notes the specific patient response that indicates that the hearing disorder is a problem in the labyrinth, which is:
1. blinking.
2. grimacing.
3. headache.
4. nystagmus.
4
The appearance of nystagmus when warm or cold water is introduced into the ear is a posi-tive indication that the hearing problem has its cause in the labyrinth.
PTS: 1 DIF: Cognitive Level: Comprehension REF: 1191
OBJ: 2 TOP: Caloric Test KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance
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