An elderly client says, "I can't seem to hear as well as I could when I was younger.". The nurse suspects this client is experiencing which of the following disorders?

1. Presbycusis
2. Mastoiditis
3. Otitis media
4. Otitis externa


1
Rationale 1: Age-related changes include loss of low- and high-frequency hearing, also known as presbycusis.
Rationale 2: Mastoiditis is a complication of either a middle ear infection or a throat infection. The client would complain of pain or tenderness behind the ear.
Rationale 3: Otitis media is an infection of the middle ear producing a red, bulging eardrum, fever, and hearing loss.
Rationale 4: Otitis externa is an infection of the outer ear, often called "swimmer's ear.". Otitis externa causes redness and swelling of the auricle and ear canal.

Nursing

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