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 A

Explanation

Choice A rationale

Systemic lupus erythematosus (SLE) is an autoimmune disease that primarily affects connective tissue. The immune system mistakenly attacks healthy tissue, leading to inflammation and damage.

Choice B rationale

SLE does not originate in the peripheral vascular system, although it can cause complications in blood vessels.

Choice C rationale

While the lymphatic system is involved in immune responses, SLE primarily targets connective tissue.

Choice D rationale

SLE does not originate in skeletal tissue, though it can cause joint pain and arthritis.

A. Erythema and edema of the affected ear. B. Pain when manipulating the affected ear lobe. C. Tugging on the affected ear lobe. D. Clear drainage from the affected ear.

Correct Answer is C

Explanation

Choice A rationale

Erythema and edema of the affected ear are more commonly associated with external otitis (swimmer’s ear) rather than otitis media. Otitis media involves the middle ear, not the external ear canal.

Choice B rationale

Pain when manipulating the affected ear lobe is also indicative of external otitis. In otitis media, the pain is usually deeper and not affected by manipulation of the ear lobe.

Choice C rationale

Tugging on the affected ear lobe is a common sign in toddlers with otitis media. This behavior is due to the discomfort and pressure in the middle ear caused by the infection.

Choice D rationale

Clear drainage from the affected ear is not typical of otitis media. If there is drainage, it is usually purulent (pus-like) and indicates a ruptured eardrum.

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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?