The nurse is reviewing the normal limits of a hearing examination for a patient who presents with decreased hearing. Which of the following findings would indicate the need for additional investigation?
a. Bone conduction is heard twice as long as air conduction with the Rinne test.
b. The tympanic membrane observed with the otoscope is pearly gray.
c. Sound is heard equally in both ears with the Weber test.
d. Words whispered from a distance of 2 feet are repeated by the patient.
A
In the Rinne test, the patient should hear the sound of the tuning fork longer through air conduction compared with bone conduction. Air conduction is heard twice as long as bone conduction; therefore, an abnormal finding would occur if the patient reports hearing the sound longer through bone conduction (i.e., bone conduction is equal to or greater than air conduction). This would indicate the need for further investigation. The tympanic membrane should have a pearly gray appearance with the otoscope. It is normal for sound to be heard equally in both ears with the Weber test. The patient should be able to repeat words whispered from a distance of 2 feet.
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