Which action is most appropriate when performing ear irrigation to remove excess wax? The nurse should
a. keep the client's head in an upright position.
b. occlude the ear canal completely with the syringe.
c. spray the external ear with an antiseptic solution.
d. use an irrigation solution that is at body temperature.
D
The irrigating solution (usually water) is warmed to body temperature and placed in the irrigating syringe. The client's head should be positioned with the ear to be tipped downward so the irrigation solution runs out easily. If you obstruct the ear canal, the fluid cannot flow out of the ear. Spraying the external ear with antiseptic is not part of the procedure.
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A) Cerebral angiography B) Arterial blood gas analysis C) CT scan D) Lumbar puncture
The nurse is planning oral hygiene for an older patient with a terminal illness who has an intact swallowing reflex. Which interventions would be appropriate for this patient? Select all that apply.
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When a patient is receiving cisplatin (Platinol-AQ) chemotherapy, the nurse will monitor for which adverse effects?
(Select all that apply.) a. Tinnitus b. Heart failure c. Hearing loss d. Elevated blood urea nitrogen and creatinine levels e. Numbness or tingling in the extremities f. Elevated glucose and ketone levels
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