When examining the eyes, the nurse practitioner determines that the pupils change size when the client focuses from a close object to a distant object. This is interpreted as: 2. A 21-year-old man presents to his health care provider for a 2-week history of ear pain and pruritus. On further questioning, he reports ear fullness and trouble hearing. He is a senior in college on a swimming scholarship. He has had these episodes in the past but not to this extent. On physical exam, his TM is dif...