Which technique should a nurse use in performing the Rinne tuning fork test?
A. Start the fork vibrating and place the stem on the mastoid process. When the client no longer feels the vibration, move it in front of the pinna and ask the client to indicate when sound is no longer heard.
B. Start the fork vibrating and place the stem on the mastoid process. When the client no longer hears sound, move it in front of the pinna and ask the client to indicate when sound is no longer heard.
C. Start the fork vibrating, hold the fork in front of the pinna, and ask the client to indicate when sound is no longer heard. Then place the stem on the mastoid process and ask the client to indicate when he or she no longer feels the vibration.
D. Start the fork vibrating, hold the fork in front of the pinna, and ask the client to indicate when sound is no longer heard. Then place the stem on the mastoid process and ask the client to indicate when he or she no longer hears the sound.
B
This test compares hearing by air conduction with hearing by bone conduction. The client should hear the vibrations, not "feel" them. The nurse performs the Rinne tuning fork test by placing the vibrating tuning fork stem on the client's mastoid process. The client indicates when he or she no longer hears the sound, and the nurse quickly brings the tuning fork in front of the pinna without touching the client, asking whether he or she still hears the sound. The client normally continues to hear the sound twice as long with the tuning fork in front of the pinna after not hearing it with the tuning fork touching the mastoid process.
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