The nurse irrigates the client's right ear with saline solution to improve hearing. Which unexpected outcome of ear canal irrigation does the nurse prevent by preparing the irrigation so-lution properly?
1. Client hearing acuity remains stable.
2. Client senses irrigant is slightly warm.
3. Client complains of nausea and vertigo.
4. Client drainage contains brown particles.
3
3. The nurse expects to irrigate the client's ear canal without causing client discom-fort, pain, nausea, or vertigo by warming the irrigation solution before instilling it.
1. This is an unexpected outcome of ear canal irrigation because the nurse expects the hearing acuity to improve after removing cerumen; however, this is indirectly related to warming the irrigant and is a result of removing the cerumen.
2. The nurse expects the client to sense the warmth of the irrigation solution; this is an expected outcome.
4. Irrigation drainage from the ear containing brown particles is consistent with clin-ical indicators for effective ear irrigation because this is evidence of cerumen removal; this is an expected finding if cerumen was in the ear canal before the procedure.
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