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    HESI LPN Exit Exam IV Proctored Exam

    The practical nurse (PN) warms the irrigation solution before irrigating the ear of an adult client who has impacted cerumen in the ear canal. In which order should the PN implement these actions? (Arrange from first on top to last on the bottom.)

    Explanation & Rationale

    Rationale 1. Pull the pinna of the ear in an upward and backward direction to straighten the ear canal. 2. Warm the irrigation solution to body temperature to prevent dizziness or discomfort. 3. Ask the client to tilt the head slightly toward the affected side to allow the solution to flow easily into the ear canal. 4. Position an emesis basin close to the neck under the ear to catch the returning solution and cerumen. 5. Direct the flow of the warm solution toward the wall of the ear canal, not directly at the eardrum, to dislodge the impacted cerumen gently

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