A nurse is assessing a client for conductive hearing loss.
When using the Rinne test, which of the following results should the nurse identify as an indication that the client has conductive hearing loss of the left ear?

Sound is lateralizing to the right ear.

Sound is lateralizing to the left ear.

Air conduction is greater than bone conduction in the left ear.

Air conduction is less than bone conduction in the left ear.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Sound lateralizing to the right ear during the Rinne test does not indicate conductive hearing loss in the left ear. This result suggests that the right ear may have better hearing or that there is an issue with the left ear, but it does not specifically diagnose conductive hearing loss.

Choice B rationale

Sound lateralizing to the left ear during the Rinne test indicates that the left ear is perceiving the sound better, which could be due to conductive hearing loss in the left ear. However, this option does not provide a definitive result for conductive hearing loss.

Choice C rationale

Air conduction being greater than bone conduction in the left ear is a normal finding and does not indicate conductive hearing loss. In conductive hearing loss, bone conduction is typically better than air conduction.

Choice D rationale

Air conduction being less than bone conduction in the left ear is indicative of conductive hearing loss. This result means that the sound is being conducted through the bones of the skull more effectively than through the air, which is a hallmark of conductive hearing loss.

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Correct Answer is D

Explanation

Choice A rationale

Speaking loudly and into the client’s good ear is not recommended. Loud speech can be distorted and uncomfortable for individuals with presbycusis.

Choice B rationale

Using sign language is not necessary unless the client is proficient in it. Most clients with presbycusis benefit more from clear verbal communication.

Choice C rationale

Sitting by the client’s side and speaking very slowly is not as effective as speaking directly to the client in a normal, clear voice.

Choice D rationale

Speaking directly to the client in a normal, clear voice is recommended. This ensures that the client can read lips and understand the conversation better.

A. “If your child gets water in her ears it will not cause problems.”. B. “The tubes will need to be removed every night before bed.”. C. “The doctor will replace the tubes every 2 years.”. D. “The tubes will fall out on their own, usually.”. . .

Correct Answer is D

Explanation

Choice A rationale

This statement is incorrect. While the tubes are designed to allow air to enter the middle ear and prevent fluid buildup, water can still enter through the tubes and potentially cause infections or other complications. Therefore, it is important to take precautions to keep water out of the ears, especially during activities like swimming or bathing.

Choice B rationale

This statement is incorrect. Tympanostomy tubes are not designed to be removed every night. They are small tubes inserted into the eardrum to allow air to enter the middle ear and prevent fluid buildup. They remain in place until they naturally fall out on their own, which typically happens within 6 to 12 months.

Choice C rationale

This statement is incorrect. The tubes do not need to be replaced every 2 years. Tympanostomy tubes usually fall out on their own within 6 to 12 months. If they do not fall out naturally, a healthcare provider may need to remove them. However, routine replacement every 2 years is not necessary.

Choice D rationale

This statement is correct. Tympanostomy tubes are designed to fall out on their own, usually within 6 to 12 months after insertion. This natural process allows the eardrum to heal without the need for additional surgical intervention.

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A nurse is assessing a client for conductive hearing loss. When using the Rinne test, which of the following results should the nurse identify as an indication that the client has conductive hearing loss of the left ear?

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A nurse is assessing a client for conductive hearing loss.
When using the Rinne test, which of the following results should the nurse identify as an indication that the client has conductive hearing loss of the left ear?