The nurse is assessing the tympanic membrane of a client and notes the presence of a bluish color. The nurse would suspect which of the following?
1. Acute otitis media
2. Recent head trauma
3. Blocked eustachian tubes
4. History of frequent middle ear infections
2
Rationale 1: Acute otitis media is associated with a reddish or yellowish tinge on the tympanic membrane.
Rationale 2: The presence of a bluish tinge on the tympanic membrane is most likely due to blood in the middle ear and may be indicative of recent head trauma.
Rationale 3: A blocked eustachian tube will cause the tympanic membrane to retract.
Rationale 4: Previous middle ear infections will result in white patches noted on the tympanic membrane that indicate scarring.
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