The nurse is instilling an antibiotic solution into the ear of an adult with otitis media. Which nursing action is most correct to ensure that the medication travels down the ear canal?
A) Pull the auricle upward and back to instill the medication.
B) Place a cotton ball in the ear canal to keep the medication in place.
C) Pull the auricle downward and back to instill the medication.
D) Use a cotton tip applicator to spread the medication deep in the canal.
A
Feedback:
The best nursing action is to straighten the ear canal by pulling the auricle upward and back. This action allows the medication to progress down the canal. In a child, the auricle should be pulled downward and back. The child's canal is straighter than the adults. The cotton ball will keep the medication in place but does not ensure that the medication in traveling down the canal. A cotton tip applicator should not be placed into the ear canal because it could perforate the eardrum.
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