A 16-year-old client with a history of chronic ear infections when younger, comes to the clinic for a health exam. No ear pain, vertigo or hearing loss is reported during history taking. Inspection of the tympanic membranes (TM) reveals the presence of dense white patches on the TMs in both ears. Both TMs are a translucent gray with a light reflex at 5:00. All landmarks are visible. Based on these findings, which action should the nurse take next?

A. Clean the ears to remove excess wax build up: There is no indication of cerumen (ear wax) occlusion based on the visual inspection. The tympanic membranes are clearly visible, suggesting that the ear canals are not obstructed by wax.B. Culture the white patches for possible fungal growth: Fungal infections of the ear (otomycosis) typically involve the external auditory canal, not the tympanic membrane itself. The patches described are more consistent with tympanosclerosis, which does not require culturing.C. Referral to an audiologist for a hearing evaluation: While chronic ear infections can affect hearing, the client denies any hearing loss, and the tympanic membranes appear otherwise healthy. There is no immediate need for audiologic referral unless symptoms arise.D. Record the findings in the client's record: The dense white patches are likely tympanosclerosis, a common, benign finding resulting from scarring due to past ear infections. No treatment is needed if the client is asymptomatic. Proper documentation is the appropriate next step.