The nurse is preparing to remove cerumen from an older adult's ear. Nursing care is appropriate if the nurse uses which procedure?
a. Applies slight negative pressure to the ear canal
b. Asks the patient not to move while the ear is being irrigated
c. Cleans the ear canal with a soft cotton swab to remove any remaining cerumen
d. Instills cool irrigating fluid to break down the cerumen in the ear canal
B
The nurse prepares the patient by explaining the procedure, including the need to remain still while the ear is being irrigated. To prevent damage to the tympanic membrane, negative pressure is never applied to the ear canal. The nurse avoids inserting a cotton swab into the ear canal be-cause it is likely to push cerumen further into the ear. Cool irrigating fluid is contraindicated be-cause it can cause nausea and vertigo.
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