What is the first action a nurse should take when an employee reports hearing loss in one ear?

In the scenario of an employee reporting hearing loss in one ear, conducting a physical examination is a critical first action for the nurse. This step allows the nurse to assess the specific symptoms, evaluate any visible physical issues, and understand the potential causes of the hearing loss. A thorough physical examination can uncover underlying conditions such as earwax buildup, infections, or other abnormalities that may contribute to the hearing loss.

By performing an examination first, the nurse gathers essential information that could guide subsequent actions, such as whether a referral to an audiologist is necessary or if the person requires immediate medical attention for a related condition. This approach ensures that any immediate health concerns are addressed promptly and reduces the risk of overlooking significant underlying issues that could require further medical investigation.