The nurse has conducted discharge teaching for a client who had a fenestration procedure for the treatment of otosclerosis. Which of the following, if stated by the client, would indicate that teaching was effective?
A. “I should drink liquids through a straw for the next 2-3 weeks.”
B. “It’s ok to take a shower and wash my hair.”
C. “I will take stool softeners as prescribed by my doctor.”
D. “I can resume my tennis lessons starting next week.”
Correct Answer: C. “I will take stool softeners as prescribed by my doctor.”
Following ear surgery, the client needs to avoid straining while having a bowel movement. The fenestration operation for improving the hearing in otosclerosis rests on a very simple principle: the creation of a new window into the labyrinth to take the place of the oval window which has become occluded by the otosclerotic bone proliferation.
Option A: The client needs to be instructed to avoid drinking through a straw for 2-3 weeks, air travel, and coughing excessively. The first postoperative visit is usually scheduled after 2 weeks, which allows time for the tympanomeatal flap to heal in place. The canal may be débrided at this time.
Option B: The client needs to avoid getting his or her hair wet, washing hair, showering for 1 week. The patient should be counseled as to the surgeon’s specific postoperative instructions, including avoidance of nose blowing, sneezing, and allowance of water into the ear canal.
Option D: The client should avoid rapidly moving the head, bouncing, and bending over for 3 weeks. Cotton balls are placed in the meatus 2-3 times per day to collect discharge from the canal over the first several days after the surgery. Postoperative audiometrics are typically performed 3-6 weeks after surgery.
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