The healthcare provider prescribed ear drops for a 5-year-old girl with otitis externa. Which technique should the practical nurse (PN) advise the mother to use when administering the ear drops?
Explanation & Rationale
A. Gently pull the upper aspect of the ear lobe upwards and backwards: For children older than 3 years, this straightens the ear canal to allow proper delivery of the medication into the external auditory canal. B. Gently pull the lower aspect of the ear lobe downwards and forward: This technique is appropriate for infants and children younger than 3 years, as their ear canal angles differently. C. Hold the upper aspect of the ear lobe downwards and against the skull: This position would obstruct the ear canal rather than open it, preventing proper medication flow. D. Instill one drop q5 minutes with the child in a Trendelenburg position: Trendelenburg positioning is unnecessary and unsafe for ear drop administration; the child should simply remain with the affected ear upward for several minutes.