After an older adult has had irrigation for removing impacted cerumen, which of the following interventions would be helpful for preventing a recurrence? (Select all that apply.)
A) Ceruminolytic drops as indicated
B) Cotton-tipped swabs daily
C) Ear candling monthly
D) Home oral jet irrigator bimonthly
E) Examination by the health care provider every 6 to 12 months
Ans: A, E
Prophylactic use of ceruminolytic agents can reduce the risk of impacted cerumen. Those at high risk for impaction should get an examination by qualified health care provider every 6 to 12 months. Teach all older adults to avoid putting anything smaller than their elbow in their ear: this includes candles, oral jets, and swabs. All of these are potentially harmful to the ear.
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