NEUROLOGY
SURGERY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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A patient comes to the clinic with some hearing loss. The health care provider is unable to observe the tympanic membrane due to the accumulation of cerumen. Which intervention will the nurse provide so that observation can be made?
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The nurse can remove the wax with a cerumen curette.
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The ear can be irrigated with cool water until all of the wax is removed.
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The nurse can instill a small amount of mineral oil into the canal and have the patient return for removal of the wax.
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The nurse can instill mineral oil into the canal and immediately irrigate to remove the adherent wax.
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Explanation:
Detailed explanation-1: -*The cone of light can be used to orientate; it is located in the 5 o’clock position when viewing a normal right tympanic membrane and in the 7 o’clock position for a normal left tympanic membrane.
Detailed explanation-2: -The pinna should be gently pulled in a posterosuperior direction, having warned the patient. This results in the straightening of the external auditory canal and subsequent alignment of the canal’s cartilaginous and bony portions. The otoscope should be gently inserted into the external auditory canal.
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