A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?

Pull the auricle upward and outward to straighten the ear canal.

Pull the auricle down and back to straighten the ear canal.

Sit the child up to insert the cotton ball into the innermost ear canal.

Sit the child up for 2 to 3 minutes after instilling drops in the ear canal.

Answer and Explanation

The Correct Answer is B

A: Pulling the auricle upward and outward is the correct technique for adults and children over 3 years old, not for a 2-year-old child.

B: Pulling the auricle down and back is the correct technique for straightening the ear canal in children under 3 years old. This allows for proper administration of the eardrops.

C: Sitting the child up to insert a cotton ball into the innermost ear canal is not appropriate. Cotton balls should not be inserted deeply into the ear canal.

D: Sitting the child up for 2 to 3 minutes after instilling drops is not necessary. The child should remain in a position that allows the drops to stay in the ear canal for the prescribed time.

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Correct Answer is D

Explanation

A: Schedule I drugs do not have the lowest abuse potential. They are classified as having the highest potential for abuse.

B: Schedule I drugs do not have a moderate abuse potential. They are considered to have a high potential for abuse and no accepted medical use.

C: Schedule I drugs do not have a mild abuse potential. They are classified as having the highest potential for abuse.

D: Schedule I drugs have the highest abuse potential and are not accepted for medical use in the United States. Examples include heroin and LSD.

Correct Answer is ["740"]

Explanation

Step 1: Convert 4 oz juice to mL. 4 oz × 30 mL per oz = 120 mL

Step 2: Convert 6 oz hot tea to mL. 6 oz × 30 mL per oz = 180 mL

Step 3: Ice chips are recorded at half their volume. 100 mL ÷ 2 = 50 mL

Step 4: IV bolus is already in mL. 150 mL

Step 5: Convert 8 oz broth to mL. 8 oz × 30 mL per oz = 240 mL

Step 6: Add all the volumes together. 120 mL + 180 mL + 50 mL + 150 mL + 240 mL = 740 mL

The nurse should record 740 mL of intake on the client’s record.

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A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is administering a controlled substance that falls into the category of Schedule I. Which of the following displays the appropriate abuse potential for Schedule I drugs?

Correct Answer is D

Explanation

A nurse is completing an 8-hour I&O record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client’s record?

Correct Answer is ["740"]

Explanation

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