The nurse is performing the Weber test. The nurse documents that the sound lateralized to the client's right ear. The student nurse observing the assessment asks the nurse about the meaning of this documentation
Which of the following is the nurse's best response? 1. "This just means that I am unable to visualize the client's tympanic membrane.".
2. "It refers to the client's inability to hear whispered statements.".
3. "The client is able to hear bone-conducted sound longer than air conducted sound.".
4. "The client is able to hear bone-conducted sound better through the impaired ear.".
4
Rationale 1: While it is possible that the nurse is unable to visualize the tympanic membrane due to cerumen and this is the reason for sound lateralizing to one ear during the Weber test, this is not the nurse's best response.
Rationale 2: The client's ability to hear whispered statements at 1–2 feet away is assessed during the whisper test.
Rationale 3: The Weber test is performed to determine if during bone conduction, with the use of a tuning fork, the client hears the sound in one ear better than the other. If there is impaired conduction in one ear, the sound will lateralize to that ear during the Weber test.
Rationale 4: The Rinne test compares air and bone conduction of sound with the use of a tuning fork.
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