The nurse is conducting a hearing assessment on an older adult client with impacted cerumen noted in the right ear canal. When performing the Weber test, which would the nurse expect to learn?

1. Air conduction is longer than bone conduction.
2. Bone conduction is longer than air conduction.
3. Sound lateralized to the right ear.
4. The client is unable to maintain balance while standing.


Correct Answer: 3

The Weber test uses bone conduction to evaluate hearing in a person who hears better in one ear than in the other. With impacted cerumen, an ear infection, or a perforated tympanic membrane, the sound will lateralize to the affected ear during the Weber test. The Rinne test compares air and bone conduction. Normally, the sound is heard twice as long by air conduction than by bone conduction after bone conduction stops. The Romberg test is used to determine equilibrium and the client's ability to maintain balance while standing.

Nursing

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