The patient is complaining of an inability to clear his nasal passages. The nurse instructs the patient to
a. Blow his nose forcefully to clear the passage.
b. Insert a cotton-tipped applicator as far as possible.
c. Apply gentle suction using a pediatric bulb suction device.
d. Use a dry washcloth to absorb secretions.
ANS: C
Excessive nasal secretions can be removed using gentle suctioning. However, patients usually remove secretions from the nose by gentle blowing into a soft tissue. Caution the patient against harsh blowing that creates pressure capable of injuring the eardrum, the nasal mucosa, and even sensitive eye structures. If the patient is unable to remove nasal secretions, assist by using a wet washcloth or a cotton-tipped applicator moistened in water or saline. Never insert the applicator beyond the length of the cotton tip.
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