The client asks the nurse to irrigate both ear canals to improve hearing and comfort. The client has bilateral brown ear drainage and a history of a right mastoidectomy and perforation of the left tympanic membrane
Which should the nurse implement first? 1. Instruct the client that the ears are infected.
2. Perform otoscopic examination of the canals.
3. Collaborate with provider about the drainage.
4. Irrigate ear canals with warmed saline solution.
2
2. The nurse completes the ear assessment with an otoscopic examination of the ear canals to provide comprehensive client data to the provider during collaboration. The nurse wants to observe cerumen, the tympanic membrane, and origin of the drainage in both ears.
1. The nurse avoids sharing a diagnostic conclusion with the client because the nurse does not know that the ears are infected.
3. The nurse collaborates with the provider after completing the nursing assessment to determine whether the client's plan of care and therapeutic regimen need alteration.
4. The nurse avoids irrigating an ear with drainage because the drainage implies that the tympanic membrane is impaired.
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