A client is being taught how to safely irrigate ears to remove cerumen. What is the correct order of self-ear irrigation? (Separate letters by a comma and space as follows: a, b, c, d.)
a. Fill the syringe with lukewarm water.
b. Hold the head at a 30-degree angle.
c. Insert the tip of the syringe carefully into the ear canal and aim toward the canal roof.
d. Tilt the head at a 90-degree angle to remove excess fluid.
e. Use one hand to hold the syringe and the other to push the plunger.
f. Repeat the procedure on the opposite ear.
g. Continue the procedure until at least a cup of fluid has flowed into and out of the ear.
h. The ear should fill with fluid and the water will flow out with cerumen.
a, c, b, e, g, h, d, f
Safe irrigation of the ear promotes cerumen removal without the use of penetrating objects. Warm water through the irrigating syringe will soften the cerumen, and the angle of the head will allow the cerumen to flow out of the ear. The order of the irrigation is important for safe removal of cerumen.
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