The nurse is evaluating the client for conduction deafness in the right ear. In using Weber’s test, the nurse appropriately places the tuning fork and confirms this type of deafness when:
1. Sound is not heard in either ear
2. Sound is heard best by the client in the left ear
3. Sound is heard best by the client in the right ear
4. Sound is reduced and heard longer through air conduction
ANSWER
ANS: 3
In conduction deafness, sound is heard best in the impaired ear. Sound that is not heard in either ear is not indicative of conduction deafness. Sound would not be heard best by the client in the left ear if there was conduction deafness in the right ear. This option is describing the Rinne’s test, not the Weber’s test. In conduction deafness, bone-conducted sound can be heard longer. In sensorineural loss, sound is reduced and heard longer through air.
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