The patient asks the nurse to irrigate both ear canals to improve hearing and comfort. The patient has bilateral brown ear drainage and a history of a right mastoidectomy and perforation of the left tympanic membrane
Which intervention should the nurse implement first? a. Inform the patient that the ears are in-fected.
b. Perform an otoscopic examination of the canals.
c. Collaborate with the audiologist about a hearing aid.
d. Irrigate the ear canals with warm saline solution.
B
The nurse completes the ear assessment with an otoscopic examination of the ear canals to pro-vide comprehensive patient data to the healthcare provider. The nurse wants to observe cerumen, the tympanic membrane, and origin of the drainage in both ears. He or she avoids irrigating an ear with drainage because the drainage implies that the tympanic membrane is impaired. The nurse avoids sharing a diagnostic conclusion with the patient because he or she does not know that the ears are infected. The nurse's scope of practice does not provide for collaboration with the audiologist about the need for a hearing aid. This is done by the healthcare provider after a thorough assessment to determine the patient's plan of care and therapeutic regimen.
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