Advanced Health Assessment Practice Exam

What action should the nurse take when using an otoscope to assess the ear of an adult client?

1. Pull the auricle out, up, and back

2. Pull the auricle down and forward

3. Push the auricle straight back

4. Rotate the auricle in a circular motion

The correct answer is: Pull the auricle out, up, and back

When using an otoscope to assess the ear of an adult client, the correct approach is to pull the auricle out, up, and back. This maneuver is essential because it straightens the ear canal, allowing for a better view of the tympanic membrane and the structures within the ear. The anatomy of the ear canal in adults differs from that of children; hence, the technique for examination needs to be adjusted accordingly. By pulling the auricle out, up, and back, the nurse facilitates a clearer path through the ear canal, reducing any risk of discomfort and ensuring that the otoscope can be inserted properly. This action also minimizes chances of injury to surrounding structures during the examination. In contrast, pulling the auricle down and forward, pushing the auricle straight back, or rotating it in a circular motion may hinder proper visualization of the tympanic membrane or potentially cause discomfort for the client. Thus, understanding and applying the correct technique is crucial for a thorough and effective ear examination.