1. Practical Knowledge: At a subsequent visit, you discover that Mr. Gossage has impacted cerumen in

1. Practical Knowledge: At a subsequent visit, you discover
that Mr. Gossage has impacted cerumen in his left ear. After obtaining a
medical order, you prepare to perform an otic irrigation.

 a. To what temperature will you warm the solution?

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1. Practical Knowledge: At a subsequent visit, you discover that Mr. Gossage has impacted cerumen in
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b. What position would you use for Mr. Gossage?

c. Describe how you would place the tip of the syringe (or
ear wash system) for irrigating.

d. After the ear is cleared of cerumen and you have finished
irrigating, what should you do next? And what position will you have Mr.
Gossage assume when you do it?

 2. Nursing Process (Diagnosis): a. Write a nursing
diagnosis that focuses on Mr. Gossage’s safety and that relates to hearing. b.
Based on your nursing diagnosis, what safety measures would you recommend for
Mr. Gossage’s home? (Do not address the hearing aid issue here.)

3. Ethical Knowledge: Now think back to the first visit with
Mr. Gossage. What are some reasons that he might not have been wearing a
hearing aid? Consider physical changes associated with aging.