A young child is being seen with an impaction of the ear canal caused by a large plastic bead. The nurse prepares to assist with which procedure to remove the bead?
1. Suction using a soft piece of tubing
2. Instillation of lidocaine drops
3. Instillation of mineral oil
4. Forceps
1
Rationale 1: Smooth, round objects are a challenge to remove from the ear. Suction applied with a piece of soft tubing may be effective.
Rationale 2: Instilling lidocaine would be ineffective.
Rationale 3: Mineral oil would make the bead slick and more difficult to remove.
Rationale 4: Forceps would not grasp the bead and could damage the ear canal if force is applied.
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