Unlicensed assistive personnel are caring for a client's ears. What information should be reported to the nurse?
1. Excessive earwax
2. Loud talking
3. Presence of a hearing aid
4. Presence of any drainage
Correct Answer: 4
Rationale 1: Excess earwax is not an immediate problem.
Rationale 2: Loud talking could be an indication the client is hard of hearing, which is not an immediate threat.
Rationale 3: The presence of a hearing aid should already be noted on the client's admission assessment.
Rationale 4: The health care provider should report any drainage from the ears to the nurse.
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