Which age related changes are expected in a male genitourinary exam?

A. Pulled in at the base of the cone of light: Retraction of the tympanic membrane, where it appears pulled inward, often indicates eustachian tube dysfunction or negative middle ear pressure. This is not considered a normal finding during ear examination.

B. Pearly grey and slightly concave: A normal tympanic membrane is pearly gray in color, translucent, and positioned slightly concave with the cone of light visible. This appearance indicates a healthy ear with no evidence of infection or fluid buildup.

C. Light pink with a slight bulge: A tympanic membrane that appears pink and bulging is usually associated with otitis media or fluid accumulation. This finding suggests infection or inflammation, not a normal ear examination result.

D. Whitish, with a small fleck of light in the superior portion: A whitish tympanic membrane often indicates scarring or tympanosclerosis, which results from repeated infections or trauma. This would not be considered a normal finding in an otherwise healthy ear.

A. Before testing, the nurse would assess the patient's mental status and ability to follow directions at this time: Sensory testing requires the patient to understand instructions and respond appropriately. Assessing cognitive status first ensures that any abnormal findings are not due to confusion or inability to follow directions.

B. The nurse would perform the tests, knowing that mental status does not affect sensory ability: Mental status directly affects the accuracy of sensory assessment. If the patient cannot comprehend instructions, the results may be unreliable, making this approach inappropriate.

C. The nurse would not do this part of the examination because results would not be valid: While cognitive impairment may complicate sensory testing, the nurse can still attempt assessment after evaluating the patient’s mental status, using simplified instructions or assistance as needed.

D. The nurse would proceed with the explanations of each test, making sure the wife understands: The patient, not the caregiver, must perform and respond to sensory testing. Explaining the test only to the wife does not ensure accurate assessment of the patient’s sensory function.