The 75-year-old patient complains to the nurse that although she has cleaned her ears with cotton-tipped applicators for weeks, she still can't hear her TV unless it is turned up loud, and she misses a great deal of conversations
On examination of the ears, the nurse antici-pates that there will be: 1. otitis externa.
2. purulent drainage.
3. dry cerumen across the canal.
4. a pearly tympanic membrane.
3
Obstruction of the external canal with cerumen will result in a hearing loss. Cleaning ears with something like an applicator will pack the cerumen in the canal.
PTS: 1 DIF: Cognitive Level: Analysis REF: 1199
OBJ: 5 TOP: External Auditory Canal
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
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