A patient experiences an increase in ear pain when the auricle is pulled up and back. The nurse realizes that this patient might be experiencing what health problem?
1. otitis externa
2. otitis media
3. otitis interna
4. mastoiditis
Correct Answer: 1
The pain of otitis externa can be differentiated from that associated with otitis media by manipulating the auricle. In external otitis, this maneuver increases the pain, whereas the patient with otitis media experiences no change in pain perception. Otitis interna would not be manifested by pain on external manipulation. Mastoiditis is a complication of otitis media and is manifested by recurrent earache and hearing loss of the affected side.
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