Ear Assessment Mary Elaine T. Tapel, RN., MAN

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18 Questions

What should you avoid touching during an otoscopic examination?

The inner ear canal wall

What is the recommended way to hold the otoscope handle during an examination?

Between your thumb and fingers

What is the recommended position of the light reflex in the right ear during an otoscopic examination?

Between 4 and 6 o'clock

What is the typical appearance of a normal tympanic membrane during an otoscopic examination?

Pearl gray, glistening, and transparent

What landmark should you look for at the 12 o'clock position during an otoscopic examination?

Malleus

At what depth should the speculum be inserted into the ear canal during an otoscopic examination?

1/3 its length

What is the name of the inferior portion of the malleus?

umbo

What is a possible cause of conductive hearing loss?

Otosclerosis

What is the term for the abnormal skin growth or epithelial cyst in the middle ear?

Cholesteatoma

What is the term for the inflammation of the middle ear?

Otitis media

What is the name of the tube that connects the middle ear to the back of the throat?

Eustachian tube

What is the term for the type of hearing loss that results from problems with the inner ear or auditory nerve?

Sensorineural hearing loss

What should a nurse observe in a patient's ear to assess its position and symmetry?

The top of the ear should align with the outer corner of the eye

During ear examination, what may tenderness of the helix indicate?

Otitis externa

What is the purpose of Weber's Test in the assessment of hearing acuity?

To compare air conduction with bone conduction of sound

In Weber's Test, if a patient hears the tone better in one ear, this indicates:

Conductive hearing loss

How is normal hearing described in the Rinne Test results?

Bone conduction tone is heard twice as long as air conduction

If a patient hears the air conduction tone longer than the bone conduction tone in the Rinne Test, this indicates:

Sensorineural hearing loss

Learn about the proper way to assess ears according to Mary Elaine T. Tapel, RN., MAN. This assessment includes observing the position and symmetry of the ear, inspecting for lesions, drainage, nodules, and redness, as well as palpating the mastoid area for tenderness, redness, or warmth.

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