The nurse is examining a client's ears and notes that right ear is occluded with wax. Which actions by the nurse are appropriate to facilitate removal of the cerumen from the client's ear? Select all that apply.
A. Inserting a cerumen spoon to remove the wax.
B. Irrigating with a cold solution.
C. Inserting a sharp instrument to break up the ear wax.
D. Irrigating with warm mineral oil, peroxide, and flushing with warm water.
E. Irrigating with warm sudsy water.
Answer:
A. Inserting a cerumen spoon to remove the wax.
D. Irrigating with warm mineral oil, peroxide, and flushing with warm water.
Explanation: 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. 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. Sharp instruments should not be placed within the ear canal because it may injure the tympanic membrane. Cold solutions may harden the ear wax, making it more difficult to remove. Warm, sudsy solutions may irritate the ear canal.
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