Otoscopic examination of a patients internal ear reveals asignificant amount of cerumen that makes visualization of thetympanic membrane difficult. Provided no contraindication exist,the nurse may remove cerumen by:
a. irrigating the patients ear with warm water
b. instilling normal saline and having it soak for 1 to 2hours
c. instilling hypertonic solution under pressure
d. manually removing the cerumen with cotton swabs
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