On assessment of the patient with otitis media, the nurse notes that the tympanic membrane is retracted and the landmarks visible. Which of the following is the priority nursing diagnosis for the patient at this stage?

All above mentioned
Risk for infection related to presence of bacteria in the middle ear
Acute pain related to increased middle ear pressure
Impaired verbal communication related to diminished hearing in affected ear
Risk for imbalanced fluid volume related to potential nausea and vomiting