The patient is reporting an inability to clear nasal passages. Which action will the nurse take?
a. Use gentle suction to prevent tissue damage.
b. Instruct patient to blow nose forcefully to clear the passage.
c. Place a dry washcloth under the nose to absorb secretions.
d. Insert a cotton-tipped applicator to the back of the nose.
ANS: A
Excessive nasal secretions can be removed using gentle suctioning. However, patients usually remove secretions from the nose by gentle blowing into a soft tissue. Caution the patient against harsh blowing that creates pressure capable of injuring the eardrum, the nasal mucosa, and even sensitive eye structures. If the patient is unable to remove nasal secretions, assist by using a wet washcloth or a cotton-tipped applicator moistened in water or saline. Never insert the applicator beyond the length of the cotton tip.
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