A 45-year-old patient is admitted complaining of dizziness, hearing loss, and a "full" feeling in one ear. Based on the patient's age and symptoms, the nurse would ask which additional assessment question?
1. "Do you have reduced feeling in your cheek on that side?"
2. "Have you noticed any impairment in your sense of smell?"
3. "Do you have a headache?"
4. "Do you have ringing in your ears?"
4
Rationale 1: The disorder suggested by these symptoms and the patient's age does not cause paresthesia.
Rationale 2: The disorder suggested by these symptoms and the patient's age does not impair the ability to smell.
Rationale 3: The disorder suggested by these symptoms and the patient's age does not cause headache.
Rationale 4: Ménière's disease is a dysfunction of the labyrinth of the ear, with symptoms of vertigo, hearing loss, unilateral aural fullness, and tinnitus. It is most common between the ages of 30 and 60.
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