Tap water irrigation of an older adult's ear canal has failed to dislodge the impacted cerumen that has been causing the patient to experience otalgia.
In preparation for another attempt at relieving the patient's problem, what action should the nurse take?
A) Instill a hypertonic saline solution for 30 minutes prior to irrigating the patient's ear.
B) Attempt irrigation using a 10 mL syringe and higher pressure.
C) Put a small amount of mineral oil in the patient's ear before attempting removal.
D) Use a flexible suction catheter and 100 to 120 mm Hg of wall suction to remove the cerumen.
Question 2
A 55-year-old man presents at the clinic complaining of erectile dysfunction. The patient has a history of diabetes mellitus. The health care provider orders tadalafil (Cialis) to be taken 1 hour before sexual intercourse.
The nurse reviews the patient's history prior to instructing the patient on the use of this medication. What disorder will contraindicate the use of tadalafil (Cialis) and sildenafil (Viagra)?
A) Cataracts
B) Retinopathy
C) Hypotension
D) Lung cancer
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