The nurse is examining a client's ears and notes that right ear is occluded with wax. The nurse would choose which of the following to remove the earwax? Standard Text: Select all that apply
1. Irrigation with warm mineral oil, peroxide, followed by warm water
2. A sharp instrument to break up the ear wax
3. Irrigation with a cold solution
4. A cerumen spoon to remove the wax
5. Irrigation with warm sudsy water
1,4
Rationale 1: Irrigate the ear canal with warm mineral oil, peroxide, followed by warm water. Care must be taken when removing cerumen. Warmed mineral oil and peroxide soften the earwax and the ear can be irrigated with warm water afterwards.
Rationale 2: A sharp instrument to break up the ear wax within the ear canal. Sharp instruments should not be placed within the ear canal because it may injure the tympanic membrane.
Rationale 3: Irrigate the ear canal with a cold solution. Cold solutions may harden the ear wax, making it more difficult to remove.
Rationale 4: A cerumen spoon can be placed in the ear canal to remove the wax. The cerumen can also be safely removed with a cerumen spoon. The cerumen spoon is designed to remove the wax safely without risking injury or perforation of the eardrum.
Rationale 5: Irrigate the ear canal with warm sudsy water. Warm, sudsy solutions may irritate the ear canal.
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