A nurse is irrigating the ear of a client to clear an external auditory canal obstruction. Which of the following measures should the nurse employ when caring for this client?
A) Warm the irrigating solution to body temperature.
B) Straighten the client's ear canal down and back.
C) Place the syringe at the tip of the external auditory meatus.
D) Keep the ear canal wet to promote client comfort.
A
Feedback:
When performing ear irrigation, the nurse should warm the irrigating solution to body temperature because hot or cold solutions can stimulate the inner ear and cause nausea or dizziness. When irrigating the ear for an adult, the nurse should straighten the ear canal up and back; however, when irrigating the ear for a child, straighten the ear canal down and back to provide better access to the ear canal. The nurse should insert the syringe into the meatus only as far as can be seen, to prevent injury to the canal. The nurse should keep the client's ear dry, not wet, to promote client comfort.
You might also like to view...
What change is anticipated that will guide advanced practice nursing roles?
a. Changes in federal funding for advanced education b. Declining demand for advanced practice roles c. Requirement of a doctor of nursing practice d. Third-party payer restrictions on this type of practice
A nurse surveys program participants after completion of a wellness program to determine if the participants have increased their involvement in daily exercise. Which of the following describes the action of the nurse?
a. Assessment b. Evaluation c. Formative or process evaluation d. Summative or impact evaluation
The metabolism of drugs in women is primarily impacted by:
1. Hepatic blow flow 2. Enzymes of the CYP450 system differences with men 3. The amount of gastric secretions 4. Whether they are pre- or postmenopausal
Client's family members may be unable or unwilling to provide daily care because they
A) live far away. B) work outside of the home. C) are physically disabled. D) all of the above