NR 341 CMS Review Part 1Exam | High-Yield Eye & Ear Irrigation, PICC
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Nursing Excellence, Fluid & Medication Management, Complication
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What equipment is needed for eye irrigation?
-Several liters of warmed NS or LR (lidocaine can be administered with the fluids or via
eyedrops).
-IV tubing/pole.
-Drainage basin & towels.
-PPE
-pH paper
What is the procedure for eye irrigation?
1. Test pH first (normal = 7).
2. Hold IV tubing 3-5 cm from the eye & open roller clamp wide open.
3. Direct the irrigation stream over the entire surface of the eye.
4. Retract the eyelids to adequately irrigate the fornices.
5. Recheck pH after irrigation is completed (if not 7.0 continue w/ irrigation).
,*Length of irrigation varies from cause.
What position should the patient be placed in to allow thee nurse to irrigate their eyes?
The supine position
If the nurse is using local anesthetic (I.e., proparacaine eyedrops) prior to eye irrigation, how
often must they administer the medication throughout the procedure?
The eyedrops will need to be reapplied every 5-10 minutes
What is the treatment for cerumen impaction?
Ear irrigation
What supplies are needed for ear irrigation?
-Water warmed to body temp.
-60 mL syringe
-16 to 18 gauge IV catheter with needle removed.
-Cerumen spoon/alligator forceps.
-Basin
-Cotton
What will happen if cold water is used for ear irrigation?
, Dizziness
What is the procedure for ear irrigation?
1. Sit the patient upright.
2. Place cerumenolytic in ear and wait 15 mins.
3. Draw warm water into syringe & connect IV catheter.
4. Place catheter in external ear canal.
5. Hold irrigation basin tight to pt's skin.
6. Direct cather superiorly & posteriorly in ear canal during irrigation.
7. To decrease trauma, bleeding, and pain - do not inject too rapidly.
8. Following irrigation, remove any piece of wax with cerumen scoop/alligator clip.
What is used to help soften ear wax prior to an ear irrigation?
A cerumenolytic
Line Mastery, Blood Transfusion Protocols, Cancer & Radiation
Therapy, Pain Management Strategies, Diabetes & Electrolyte
Mastery, ABG Interpretation, Tracheostomy Skills, Laryngectomy Care,
Stroke & Hip Fracture Interventions, Endometriosis & Leuprolide,
Syphilis & Herpes Education, Immunization Guidelines, Post-Op
Nursing Excellence, Fluid & Medication Management, Complication
Prevention Exam Questions Verified and Provided with Complete A+
Graded Rationales Latest Updated 2026
What equipment is needed for eye irrigation?
-Several liters of warmed NS or LR (lidocaine can be administered with the fluids or via
eyedrops).
-IV tubing/pole.
-Drainage basin & towels.
-PPE
-pH paper
What is the procedure for eye irrigation?
1. Test pH first (normal = 7).
2. Hold IV tubing 3-5 cm from the eye & open roller clamp wide open.
3. Direct the irrigation stream over the entire surface of the eye.
4. Retract the eyelids to adequately irrigate the fornices.
5. Recheck pH after irrigation is completed (if not 7.0 continue w/ irrigation).
,*Length of irrigation varies from cause.
What position should the patient be placed in to allow thee nurse to irrigate their eyes?
The supine position
If the nurse is using local anesthetic (I.e., proparacaine eyedrops) prior to eye irrigation, how
often must they administer the medication throughout the procedure?
The eyedrops will need to be reapplied every 5-10 minutes
What is the treatment for cerumen impaction?
Ear irrigation
What supplies are needed for ear irrigation?
-Water warmed to body temp.
-60 mL syringe
-16 to 18 gauge IV catheter with needle removed.
-Cerumen spoon/alligator forceps.
-Basin
-Cotton
What will happen if cold water is used for ear irrigation?
, Dizziness
What is the procedure for ear irrigation?
1. Sit the patient upright.
2. Place cerumenolytic in ear and wait 15 mins.
3. Draw warm water into syringe & connect IV catheter.
4. Place catheter in external ear canal.
5. Hold irrigation basin tight to pt's skin.
6. Direct cather superiorly & posteriorly in ear canal during irrigation.
7. To decrease trauma, bleeding, and pain - do not inject too rapidly.
8. Following irrigation, remove any piece of wax with cerumen scoop/alligator clip.
What is used to help soften ear wax prior to an ear irrigation?
A cerumenolytic
