The nurse should report which assessment finding immediately to the health care provider?
a. The tympanum is blue-tinged.
b. There is a cone of light visible.
c. Cerumen is present in the auditory canal.
d. The skin in the ear canal is dry and scaly.
ANS: A
A bluish-tinged tympanum can occur with acute otitis media, which requires immediate care to prevent perforation of the tympanum. Cerumen in the ear canal may need to be removed before proceeding with the examination but is not unusual or pathologic. The presence of a cone of light on the eardrum is normal. Dry and scaly skin in the ear canal may need further assessment but does not require urgent care.
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