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Ear with Otoscope Assessment AO RN-BSN-2
assessment
Course
Pathophysiology (NURS 3315 )
7 Documents
Students shared 7 documents in this course
University
Houston Community College
Academic year: 2024/2025
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Ear Assessment and nursing diagnoses (Do assessment on an adult using an otoscope)
Part 1 Instructions: In the boxes, describe your findings. Do not use the word “Normal” or
approximations of it, such as N/A, expected, etc. State what you found using terminology
appropriate for the area. See the textbook for appropriate wording. If there are no signs or
symptoms of any problems, for instance, it would be appropriate to write: Denies tenderness,
pain, and paresthesia; no lesions or breakdown observed. No evidence of pathology noted. Then
proceed to describe what you assess in terms of observation and palpation (auscultation and
percussion are not used in ear assessment). Weber and Kelley’s textbook has a helpful guide
with pictures and verbiage you may find helpful: Assessment Guide 17-1, in the chapter on ear
assessment (note especially the textbook verbiage in the center and right columns.) You may use
textbook terminology in this class because it is expected. Do not use the findings of other
students since the plagiarism detection program will flag the duplicate wording you use as
plagiarism. Many videos are also available to assist you. There is one on Canvas in the current
module, and YouTube has a number of them as well.
Do not use the work of other students. That is plagiarism, and our detection program will
flag it. If confirmed it will mean the grade of F in the class: It isn’t worth it!
Part 1: Assessment template
Current Symptoms: Ears Assessment Findings
Interview Guide
1. Recent changes in hearing (if
yes, were all or just some
sounds affected)?
If yes, describe, if no, then state “denies changes in
hearing.”
2. Ear discharge (if yes,
amount/odor)?
3. Ear pain (if yes, is there
accompanying sore throat, sinus
infection, or problem with teeth
or gums)?
4. Ringing or crackling sounds in
ears?
Past History
1. Previous ear or hearing
problems such as infections,
trauma, or earaches
(medications, surgery, hearing
aids)?
Family History
1 history of ear problems or
hearing loss?
Lifestyle and Health Practices
1. Live or work around frequent or
continuous loud noise? Use of
ear buds daily?
2. Use of ear protection from noise
or while in water?
3 any hearing loss affected
ability to work or care for self or
others?
Physical Assessment:
External Ear Structures
(List findings bilaterally)
1. Inspect the auricle, tragus, and
lobule for size and shape,
bilaterally. Describe bilateral
position, lesions/discoloration,
and discharge.
2. Palpate the auricle and mastoid
process bilaterally. Describe
findings, including
symptomatology or tenderness
if they are present.
Otoscopic Examination
3. Bilaterally inspect the external
auditory canal with the otoscope
for discharge, color and
consistency of cerumen, color
and consistency of canal walls,
and any nodules. (Address each
of these items bilaterally.)
4. Inspect and describe the
tympanic membranes bilaterally,
using the otoscope, for color
and shape, and landmarks.
Hearing and equilibrium tests
1. Perform the whisper test by
having the client place a finger
on the tragus of one ear.
Whisper a two-syllable word
30–60 cm (1–2 ft) behind
the client. Repeat on the other
Part 2 Instructions: Analysis and synthesis exercise:
(See below for your type-in template; an example of this form is given in the
Module)
(Derived from the NCSBN Clinical Judgement Model)
1. Problem or assessment finding you have selected for analysis
List here:
2. Synthesis:
What is the nature, likely
etiology, or factor most
impacting the abnormal
finding you have
discovered (or, if your
patient had nothing
abnormal, discuss the
problem you listed).
3. Priority:
Level of urgency for further action on
the part of the nurse or patient.
1. Emergency—address now!
2. Urgent—address soon—
today or within a few days.
3. Routine—address at the next
clinician visit.
4. Incidental—no action is
necessary.
Clue to your answer: What would
happen if the finding is not addressed
—in a worst-case situation (think
physical, social, financial, for
example).
List an in-text citation for your
authority source regarding the level
of priority, using APA style.
Reference:
Reference a textbook, reliable
medical website, or journal article
using APA format. (It does not need
to be within 5 years—some
conditions are not currently under
investigation and any authoritative
source will receive full points
regardless of year. Mayo Clinic or
Cleveland clinic websites are good
examples of websites that may be
cited for this assignment. See the
APA website for instructions on
citing a website as a reference.)
4. Implications:
What should the nurse
recommend, teach, or do based
on this knowledge? (Be brief—
1 – 3 sentences only should be
used here. What is the “big
picture” or the main elements
to remember? )
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Ear with Otoscope Assessment AO RN-BSN-2
Course: Pathophysiology (NURS 3315 )
7 Documents
Students shared 7 documents in this course
University: Houston Community College
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Ear Assessment and nursing diagnoses (Do assessment on an adult using an otoscope)
Part 1 Instructions: In the boxes, describe your findings. Do not use the word “Normal” or
approximations of it, such as N/A, expected, etc. State what you found using terminology
appropriate for the area. See the textbook for appropriate wording. If there are no signs or
symptoms of any problems, for instance, it would be appropriate to write: Denies tenderness,
pain, and paresthesia; no lesions or breakdown observed. No evidence of pathology noted. Then
proceed to describe what you assess in terms of observation and palpation (auscultation and
percussion are not used in ear assessment). Weber and Kelley’s textbook has a helpful guide
with pictures and verbiage you may find helpful: Assessment Guide 17-1, in the chapter on ear
assessment (note especially the textbook verbiage in the center and right columns.) You may use
textbook terminology in this class because it is expected. Do not use the findings of other
students since the plagiarism detection program will flag the duplicate wording you use as
plagiarism. Many videos are also available to assist you. There is one on Canvas in the current
module, and YouTube has a number of them as well.
Do not use the work of other students. That is plagiarism, and our detection program will
flag it. If confirmed it will mean the grade of F in the class: It isn’t worth it!
Part 1: Assessment template
Current Symptoms: Ears Assessment Findings
Interview Guide
1. Recent changes in hearing (if
yes, were all or just some
sounds affected)?
If yes, describe, if no, then state “denies changes in
hearing.”
2. Ear discharge (if yes,
amount/odor)?
3. Ear pain (if yes, is there
accompanying sore throat, sinus
infection, or problem with teeth
or gums)?
4. Ringing or crackling sounds in
ears?
Past History
1. Previous ear or hearing
problems such as infections,
trauma, or earaches
(medications, surgery, hearing
aids)?
Family History
1.Family history of ear problems or
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