During an Assessment of a 20-Year-Old Asian Patient,the Nurse Notices

During an assessment of a 20-year-old Asian patient,the nurse notices that he has dry,flaky cerumen in his canal.What is the significance of this finding? This finding:

A) Is probably the result of lesions from eczema in his ear.
B) Represents poor hygiene.
C) Is a normal finding, and no further follow-up is necessary.
D) Could be indicative of change in cilia; the nurse should assess for hearing loss.