The provider wants impacted cerumen removed from the client's ear by curettage. Which should the nurse implement?
1. Apply negative pressure to the ear canal.
2. Assist provider with a bedside procedure.
3. Clean the ear canal with a soft cotton swab.
4. Instill ceruminolytic solution into ear canal.
2
2. The nurse prepares to assist at the client's bedside while the provider inserts a cu-rette into the client's ear canal and removes the cerumen. The nurse refers to agency policy to determine required equipment and supplies for the procedure and required client care and documentation.
1. To prevent damage to the tympanic membrane, negative pressure is never applied to the ear canal.
3. The nurse avoids inserting a cotton swab into the ear canal because it is likely to aggravate the impacted cerumen.
4. Ceruminolytic solution is an alternative to removing cerumen with a curette.
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