When administering ear drops to a six-year-old, what action should the nurse take?

When administering ear drops to a six-year-old, the appropriate action is to pull the ear pinna up and back. This technique is specifically recommended for children older than three years, as it allows for a straighter pathway to the eardrum, ensuring that the medication reaches the intended area more effectively.

In contrast, pulling the ear pinna down and back is the recommended technique for infants and younger children. Keeping the child upright during administration is important for comfort, but it does not specifically influence the effectiveness of the medication delivery. Placing cotton directly into the ear after administration is not a standard practice, as it can create pressure or block the ear canal, potentially preventing the ear drops from being absorbed properly. Therefore, the correct technique of pulling the pinna up and back is essential for administering ear drops effectively in a six-year-old.