Certified Post Anesthesia Nurse (CPAN) Practice Exam

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After a stapedectomy, if packing is retained in the ear, what is the appropriate nursing action?

  1. Disturb the packing cautiously

  2. Advise the patient to cough

  3. Advise the patient to blow nose

  4. Do not disturb the packing

The correct answer is: Disturb the packing cautiously

In the context of post-operative care following a stapedectomy, the most appropriate nursing action when packing is retained in the ear is to avoid disturbing it. The packing is typically placed to control bleeding, support the surgical site, and promote healing. Removing or disturbing the packing can potentially lead to complications, such as dislodging blood clots, causing bleeding, or introducing infection. It is vital to respect the integrity of the packing because it serves as a barrier and helps to maintain the appropriate environment for the healing process. While advising the patient to cough or blow their nose may seem tempting to relieve discomfort, these actions could create undue pressure in the ear, risking displacement of the packing or impacting the surgical site. Knowing this helps to reinforce the importance of observing the packing without interference, as it is essential for proper recovery following the procedure. In summary, the correct approach is to leave the packing undisturbed, which contributes to the best possible outcomes for the patient after a stapedectomy.