When irrigating a client's impacted ear with cerumen, which action would require intervention from a charge nurse?

The choice involving instilling 50mL of fluid with each irrigation warrants intervention because the volume of fluid used can significantly impact the safety and effectiveness of the irrigation process. Generally, healthcare guidelines recommend using a smaller volume of fluid, often around 10 to 20 mL, to prevent potential complications such as perforating the tympanic membrane or causing discomfort to the client. Excessive fluid volume can not only lead to a risk of eardrum damage but also increase the chance of discomfort and possible complications like dizziness or nausea due to the pressure changes experienced during the procedure.

In contrast, utilizing sterile saline for irrigation, wearing gloves during the procedure, and positioning the client appropriately are standard best practices that ensure safety and hygiene. Using sterile solution minimizes the risk of infection, wearing gloves protects both the patient and the healthcare worker, and proper positioning is crucial for effective irrigation and client comfort.