What is the recommended technique for a nurse before inserting an otoscope into a client's ear?

The recommended technique for a nurse before inserting an otoscope into a client's ear involves pulling the pinna up and back. This method is particularly effective for adults and older children because it straightens the ear canal, allowing for a clearer view of the tympanic membrane and any potential abnormalities. By gently pulling the ear in this manner, the nurse can ensure that the otoscope enters the canal smoothly and minimizes any discomfort for the patient.

In contrast, pulling the pinna down and back is generally recommended for younger children, as their ear canals are shaped differently, and this technique accommodates their anatomy better. Tilting the head to the side may help in some contexts, but it doesn't address the need to align the ear canal properly for inspection. Grasping the auricle firmly could cause discomfort or damage to the delicate structures of the ear, which is why gentle manipulation is encouraged. Overall, pulling the pinna up and back is aligned with standard practices in otoscopy for adult patients.