When irrigating a client's ear, the nurse avoids occluding the ...

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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.

Question 2

A nurse is required to clean the open wounds of a client who has been involved in an automobile accident. What intervention would the nurse need to perform when cleaning a client's open wounds to protect himself or herself from infection?
 
  A) Wash hands with alcohol-based hand wash after the procedure.
  B) Wear a clean pair of latex or latex-free gloves.
  C) Use sterilizing acid to clean the injury.
  D) Use sterile solutions such as normal saline.

[tennis14576]

Answer to Question 1

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.

Answer to Question 2

B
Feedback:
In order to protect themselves from infections when dealing with open wounds, nurses should wear gloves. Though washing hands with an alcohol-based hand wash helps kill the microorganisms, it will not protect the nurse from being infected during the cleaning of the wound. Sterilizing acid is used to sterilize heat-sensitive instruments and is not applied to wounds. Sterile solutions such as normal saline are used to avoid contamination of the wound itself, not to protect the nurse.

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TY

[tennis14576]

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