Pure tone audiometry (PTA) is the key hearing test used to identify hearing threshold levels of an individual, enabling

determination of the degree, type and configuration of a hearing loss. Thus, providing the basis for diagnosis and management. PTA is a subjective, behavioral measurement of hearing threshold, as it relies on patient response to pure tone stimuli. Procedure: Physician will explain the need for the procedure.

measure of energy transmission through the middle ear. Physician will explain the need for the procedure

Nursing Responsibilities: Check vital signs before the procedure. Assist the patient in the audiometry room. Place in Comfortable position; remove unnecessary materials inside that can distract the patient. Inform the client regarding the procedure. Place the transducers (earphones first, then bone vibrators). Instruct the client to press the bottom if he hears sound coming from the transducers, from right ear to the left ear as instructed. Avoid giving inadvertent visual cues to the participant. Enable easy observation of participant responses to stimuli. Allow for the monitoring and reinforcement of responses. Permit observation of participant comfort, safety, and health Indicate the purpose of the test, that is, to find the faintest tone that can be heard.

Tympanometry is an examination used to test the condition of the middle ear and mobility of the eardrum (tympanic membrane) and the conduction bones by creating variations of air pressure in the ear canal.

Tympanometry is an objective test of middleear function. It is not a hearing test, but rather a

Emphasize that it is necessary to sit quietly, without talking, during the test. Indicate that the participant is to respond whenever the tone is heard, no matter how faint it may be. Describe the need to respond overtly as soon as the tone comes on and to respond overtly immediately when the tone goes off. Indicate that each ear is to be tested separately with tones of different pitches. Describe inappropriate behaviors such as drinking, eating, smoking, chewing, or any additional behavior that may interfere with the test. Provide an opportunity for any questions the listener may have Keep the result in the patient file.

Check vital signs before the procedure.

The test is performed by inserting the tympanometer probe in the ear canal. The instrument changes the pressure in the ear, generates a pure tone, and measures the eardrum responses to the sound at different pressures.(done by the physician)

 Assist the patient in the audiometry room. Place in comfortable position (sitting).Instruct the patient to relax. After the procedure, keep the result in the patient file.