How should the nurse position the ear when performing ear ...

[EAugust]

How should the nurse position the ear when performing ear irrigation for a 2-year-old patient?
 
  a. Instill the irrigating solution quickly and forcefully.
  b. Pull the pinna up and back.
  c. Direct the fluid toward the anterior aspect of the ear canal.
  d. Pull the pinna down and back.

Question 2

Which of the following risk factors contribute to complications of immobility? (Select all that apply.)
 
  a. Paralysis
  b. Traction
  c. Arterial insufficiency
  d. Incontinence
  e. Constipation

[stallen]

Answer to Question 1

D
In children age 3 or younger, pull the pinna down and back. Slowly instill irrigating solution by holding the tip of the syringe 1 cm ( inch) above the opening to the ear canal. Allow fluid to drain out during instillation into the basin. Continue until the canal is cleansed or the solution is used. Slow instillation prevents buildup of pressure in the ear canal and ensures contact of the solution with all canal surfaces. For adults and children older than age 3, gently pull the pinna up and back. Direct the fluid toward the superior aspect of the ear canal.

Answer to Question 2

A, B, C, D
Assess for risk factors that contribute to complications of immobility. Increased risk factors require the patient to be repositioned more frequently. Paralysis impairs movement; muscle tone changes and sensation is affected. Because of difficulty in moving and poor awareness of the involved body part, the patient is unable to protect and position the body part for self. Traction, bone fractures, surgery, or arthritic changes of the affected extremity result in decreased ROM. Decreased circulation predisposes the patient to pressure ulcers. Premature and young infants require frequent turning because their skin is fragile. Normal physiological changes associated with aging predispose older adults to greater risks for developing complications of immobility.