During a procedure to remove impacted cerumen, the nurse should be assessing the patient for which of the following most critical complications?
A)
Excessive bleeding from the ear
B)
Pain related to instillation of warm fluids to soften the cerumen
C)
Symptomatic bradycardia from vagal nerve innervation
D)
Respiratory distress related to fluid entering bronchiole tubes
Ans:
C
Feedback:
Because the external auditory canal is innervated by the auricular branch of the vagus nerve, coughing or even cardiac deceleration can result from stimulation of the canal by cerumen impactions or removal attempts. Since this just involves irrigation using a bulb syringe and warm tap water, bleeding should not occur. Pain may occur but is not a critical complication. Since the fluid is going into the ear canal, there should be no fluid entering the respiratory system.
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