When irrigating a client's ear, the nurse avoids occluding the ear canal with the tip of the syringe while instilling the solution. Why should the nurse take such a precaution?
A) Foreign bodies may swell and become tightly fixed.
B) The pressure of the trapped solution could rupture the eardrum.
C) Drainage may saturate the client's gown and bed linen.
D) Dehydrated bodies may become lodged at the tip of the syringe.
B
Feedback:
When performing ear irrigation, the nurse should avoid occluding the ear canal with the tip of the syringe as the pressure of the trapped solution could rupture the eardrum. Irrigation should be performed with caution if a foreign body is suspected but this is not the rationale for ensuring that the ear canal is not occluded with the tip of the syringe.
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