A 2-year-old presents to the urgent care clinic for cerumen impaction. The nurse is instructed to perform an ear irrigation. Which interventions should the nurse take?
A. Position the child with affected ear facing upward.
B. Cleanse the external ear and external canal to clear any visible debris.
C. Use a cotton-tip applicator to clean the internal canal as much as possible prior to the irrigation.
D. Pull the tragus downward and backward, insert syringe, and direct the solution toward the top of the ear.
E. Pull the pinna downward and backward, and insert the syringe to direct the flow of solution toward the top of the ear.