A client is diagnosed with a disorder involving the inner ear. Which of the following is the most common client complaint associated with a disorder in this part of the ear?
A. Hearing loss
B. Pruritus
C. Tinnitus
D. Burning of the ear
Correct Answer: C. Tinnitus.
Tinnitus is the most common complaint of clients with otological disorders, especially disorders involving the inner ear. Symptoms of tinnitus range from mild ringing in the ear, which can go unnoticed during the day, to a loud roaring in the ear, which can interfere with the client’s thinking process and attention span.
Option A: Hearing loss can be conductive, sensorineural, or mixed. Conductive hearing loss takes place with disruption of the transmission of the sound waves to the cochlea. The most common causes include abnormal formation of the auricle or helix, cerumen impaction, ear canal foreign bodies, otitis externa, dysfunction or fixation of the ossicular chain, and middle ear effusion.
Option B: Pruritus, more commonly described as itchiness, refers to an uncomfortable sensation of the skin that typically triggers an urge to scratch. Pruritus can be transient or can persist for a longer amount of time, which often indicates a more significant underlying cause. If itching persists past six weeks, it is known as chronic pruritus. Pruritus can either be localized to one part of the body or more generalized to several areas.
Option D: Red ear (RE) episodes are characterized by unilateral or bilateral attacks of paroxysmal burning sensations and reddening of the external ear. The duration of these episodes ranges from a few seconds to several hours. The attacks occur with a frequency ranging from several a day to a few per year.
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