The nurse is assessing the ears of a patient who is African American. Which assessment finding should the nurse identify as abnormal?
1. During the Rinne test, the patient hears the sound by air conduction for an equal amount of time as by bone conduction.
2. The patient is able to hear whispers from 18 inches away.
3. The patient's cerumen is dark gray.
4. The patient's tympanic membrane is pearly gray.
Correct Answer: 1
This patient has some conductive hearing loss. The patient with no conductive hearing loss hears the sound twice as long by air conduction as by bone conduction. The patient should normally be able to hear the nurse whispering from 1–2 feet away. People with darker skin tend to have darker cerumen. This is a normal finding. The tympanic membrane should look pearly gray. This is a normal finding.
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