How should the nurse position the ear when performing ear irrigation for a 2-year-old patient?
a. Instill the irrigating solution quickly and forcefully.
b. Pull the pinna up and back.
c. Direct the fluid toward the anterior aspect of the ear canal.
d. Pull the pinna down and back.
D
In children age 3 or younger, pull the pinna down and back. Slowly instill irrigating solution by holding the tip of the syringe 1 cm ( inch) above the opening to the ear canal. Allow fluid to drain out during instillation into the basin. Continue until the canal is cleansed or the solution is used. Slow instillation prevents buildup of pressure in the ear canal and ensures contact of the solution with all canal surfaces. For adults and children older than age 3, gently pull the pinna up and back. Direct the fluid toward the superior aspect of the ear canal.
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