The nurse is conducting a hearing assessment on an older adult client with impacted cerumen noted in the right ear canal

Question

When performing the Weber test, the nurse would expect to learn which of the following? Standard Text: Select all that apply. 1. Air conduction is longer than bone conduction.
2. Bone conduction is longer than air conduction.
3. Sound lateralized to the right ear.
4. The client is unable to maintain balance while standing.
5. The 4 year old placed a pea into his nose during lunch.

Answer 1

3
Rationale 1: The Rinne test, not the Weber test, compares air and bone conduction.
Rationale 2: The Rinne test, not the Weber test, compares air and bone conduction.
Rationale 3: The Weber test uses bone conduction to evaluate hearing in a person who hears better in one ear than in the other. With impacted cerumen, an ear infection, or a perforated tympanic membrane, the sound will lateralize to the affected ear during the Weber test.
Rationale 4: The Romberg test is used to determine equilibrium and the client's ability to maintain balance while standing.
Rationale 5: The 4 year old placed a pea into his nose during lunch. Children are more likely to introduce foreign objects into their mouth and nose. This behavior is not associated with gum or oral mucosa problems.