Question

A client with a history of ear problems is going on vacation by aircraft. The nurse advises the client to include which activities to prevent barotrauma during ascent and descent of the airplane?

1) Swallowing
2) Yawning
3) Chewing gum
4) Blowing nose

Answer 1

To prevent barotrauma during flight, a client with ear problems should swallow, yawn, and chew gum, as these actions help equalize ear pressure. Blowing the nose should be done carefully to avoid increasing pressure. Staying hydrated and avoiding sleep during critical flight phases are also recommended.

Step-by-step explanation:

A client with a history of ear problems who will be traveling by aircraft can do several things to prevent barotrauma during ascent and descent of the airplane. These include swallowing, yawning, and chewing gum as they all help equalize the pressure in the ears. It is also often recommended to avoid blowing the nose vigorously, as this might worsen the pressure if done incorrectly or if there is nasal congestion.

Swallowing activates the muscles that open the Eustachian tubes, which in turn equalizes pressure. Yawning is another effective way to open these tubes, while chewing gum stimulates saliva production and swallowing. However, if the client has a severe congestion or a cold, these measures might be less effective and additional measures, like using a nasal decongestant before flying, might be necessary.

As a general safety tip, it is also advisable to stay hydrated and avoid sleeping during ascent and descent to allow for frequent swallowing.