As part of a comprehensive physical assessment of an older adult client, a nurse is performing an otoscopic examination. Which of the following assessment findings most clearly warrants further assessment and possible intervention?
A) There is a small amount of cerumen visible in the ear canal.
B) The epithelial lining is bright red.
C) The tympanic membrane is intact.
D) The tympanic membrane is a pearl-gray color.
Ans: B
Bright red epithelial lining in the ear is an abnormal finding; the lining should be pinkish white. A small amount of cerumen and an intact, pearl-gray tympanic membrane are expected findings.
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