The client admits to cleaning his ears with a cotton-tipped applicator. As a consequence, the client has developed impacted cerumen and unilateral hearing loss. As the nurse prepares the client's plan of care, which nursing diagnosis is most applicable?
1. Acute pain.
2. Knowledge deficit.
3. Acute confusion.
4. Unilateral neglect.
Correct Answer: 2
Of the choices, the best nursing diagnosis for this client is knowledge deficit regarding how to adequately care for his ears. Another possible nursing diagnosis that would be applicable for this client is disturbed sensory perception because he will be unable to hear well out of the ear that is impacted with cerumen. Acute pain would be appropriate if the client had perforated the tympanic membrane with the cotton-tipped applicator. However, there are no data to suggest this. Acute confusion is not an appropriate nursing diagnosis. This client will not develop confusion as a result of unilateral hearing loss. The client will not neglect one side as a result of unilateral hearing loss.
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