Exam (elaborations)
PNCB Prep: MANAGEMENT – Procedures (Q’s And A’s)
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PNCB Prep: MANAGEMENT – Procedures (Q’s And A’s)
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PNCB Prep: MANAGEMENT – Procedures (Q’s And A’s)Removal of cerumen is ONLY indicated when.... Right Ans - Visualization of
the External Auditory Canal and Tympanic Membrane is necessary.
Cerumen can be removed by... Right Ans - - Mechanically
- Gentle Irrigation
- Ceruminolytic
- Combination of irrigation followed by ceruminolytic instillation (PRODUCES
BEST RESULTS)
Best results for cerumen removal are produced when.... Right Ans -
Irrigation with water following instillation of a ceruminolytic agent
Common ceruminolytic agents include: Right Ans - - Docusate sodium
- mineral oil
- olive oil
- mixture: baking soda and water
Water based ceruminolytics.... Right Ans - Disintegrate wax
Oil-based ceruminolytics... Right Ans - Soften wax
Irrigation is contraindicated and should not be attempted if... Right Ans - -
If the tympanic membrane is possibly perforated
OR
- If there are pressure-equalizing tubes in place
What anticipatory guidance is important for the provider to share with the
parent prior to removing cerumen? Right Ans - Carefully explain the
procedure to parents and inform them that the ear canal is extremely
sensitive and fragile and bleeds easily when touched.
- this may prevent an adverse parent reaction when there is blood on the
curette or in the ear canal
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