What does a nurse look for when inspecting a client with a history of cerumen impaction?

When inspecting a client with a history of cerumen impaction, the most telling sign a nurse looks for is a yellowish or brownish waxy material. This characteristic material indicates the presence of earwax accumulation, which is a primary concern in cases of cerumen impaction. Cerumen serves various functions, such as trapping debris and providing antimicrobial properties; however, excessive buildup can lead to blockage and potential auditory issues.

While signs such as a red and inflamed eardrum might suggest other conditions like otitis media or an infection, they are not specifically indicative of cerumen impaction. A clear fluid discharge could point toward conditions such as eustachian tube dysfunction or perforated tympanic membrane but would not be expected in the context of cerumen buildup. A perforated tympanic membrane is a more severe condition and would typically indicate a different issue altogether, often related to trauma or infection, rather than simply the presence of cerumen.

In summary, identifying yellowish or brownish waxy material aligns directly with the clinical definition and implications of cerumen impaction, making it the correct observation for the nurse in this scenario.