The daughter of an elderly client reports that the client is experiencing a decrease in hearing ability in the client's right ear. The nurse suspects a conductive hearing loss due to the presence of dried wax in the right ear canal
In which of the following ways can the nurse best validate this suspicion? 1. Perform the Weber test.
2. Perform the Rinne test.
3. Examine the external ear.
4. Perform the whisper test.
1
Rationale 1: Excessive cerumen may cause a conductive hearing loss in the elderly due to cerumen dryness and an inability to remove the cerumen properly. The Weber test can validate this finding by showing sound lateralizing to the left ear.
Rationale 2: The Rinne test is used to validate sensorineural hearing loss, which normally demonstrates that air conduction is greater than bone conduction. The Weber test can validate the nurse's finding by showing sound lateralizing to the left ear.
Rationale 3: Performing the whisper test is not a relevant action at this time. The Weber test can validate the nurse's finding by showing sound lateralizing to the left ear.
Rationale 4: Earwax cannot always be visualized by external ear examination. The Weber test can validate the nurse's finding by showing sound lateralizing to the left ear.
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