When caring for a client after ear surgery, which of the following is an important aspect of nursing care?

• A. Instruct the client to avoid blowing their nose forcefully.
• B. Administer oral fluids immediately after surgery.
• C. Encourage the client to sleep on the operated side.
• D. Remove the ear dressing within the first hour post-operation.

Answer: (A)

Verified step by step guidance

1. Understand the anatomy and physiology of the ear, particularly the structures involved in ear surgery, such as the tympanic membrane, ossicles, and inner ear. Recognize that forceful actions like blowing the nose can increase pressure in the middle ear and disrupt healing.
2. Review the principles of post-operative care for ear surgery, including minimizing activities that could cause strain or pressure changes in the ear, such as sneezing or blowing the nose forcefully.
3. Consider the importance of maintaining the integrity of the surgical site. Sleeping on the operated side may increase pressure and discomfort, while removing the ear dressing prematurely could expose the site to infection or disrupt healing.
4. Evaluate the timing of oral fluid administration post-surgery. Immediate administration may not be appropriate due to potential nausea or vomiting caused by anesthesia effects.
5. Conclude that instructing the client to avoid blowing their nose forcefully is a critical aspect of nursing care, as it directly prevents complications related to pressure changes in the ear post-surgery.