The nurse is obtaining a history from a client complaining of ear pain and dizziness. Which assessment finding is the best evidence that the client has a perforated eardrum?
A) Fluid draining in the external canal
B) Pain has resolved
C) Elevated white blood cell count
D) Inflammation and a reddened eardrum
A
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Noting the actual fluid in the ear canal alerts the nurse to the fact that there is a perforation in the tympanic membrane. The other options are also signs of a perforation but also signs of otitis media without perforation.
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