Question

A male client with a history of ear problems telephones the ambulatory care nurse to cancel an appointment because he will be away on business. The client mentions that he will be flying during this trip. The nurse advises the client to engage in which of the following to prevent barotrauma during takeoff and landing?

Option 1: Swallow frequently.
Option 2: Use a nasal decongestant.
Option 3: Chew gum during ascent and descent.
Option 4: Avoid yawning during the flight.

Answer 1

To prevent barotrauma during flying, the client should be advised to swallow frequently, use a nasal decongestant if safe, and chew gum during ascent and descent. Yawning should not be avoided as it can help equalize ear pressure.

Step-by-step explanation:

To prevent barotrauma during takeoff and landing, it is advisable for the client to engage in activities that can equalize the pressure in the ears. Therefore, the nurse should recommend the client to:

• Swallow frequently
• Use a nasal decongestant before takeoff and before descent, if there are no contraindications
• Chew gum during ascent and descent
• Avoid actions such as sleeping that may prevent natural swallowing response during these critical phases of flight

Chewing gum and swallowing frequently can help to open the Eustachian tubes, which connect the middle ear to the nasopharynx, allowing air to enter or leave the middle ear and equalize pressure with changes in ambient pressure.

Options 1 and 3 are correct; the use of a nasal decongestant can also be helpful if the client has a history of ear or sinus problems and it's deemed safe by their doctor. However, Option 4 is incorrect because yawning is actually beneficial; it helps to open the Eustachian tubes and equalize pressure. The best advice is to perform actions that help maintain air pressure equilibrium to prevent barotrauma. It's important for the client to consult with a healthcare provider for personalized advice, especially considering their history of ear problems.