The Nurse Is Performing a Focused Interview with a Client

The nurse is performing a focused interview with a client who has been cleaning the ears with a cotton-tipped applicator.The nurse should educate the client about which of the following complications that can occur as a result of this practice?

A) The client has a higher risk of developing otitis externa.
B) The client has a higher risk of developing tophi along the outer rim of the ears.
C) The client could perforate the tympanic membrane.
D) The client could require tympanostomy tubes.
E) The client's cerumen might become impacted.