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.
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: Stopping an antibiotic once feeling better is incorrect. Antibiotics should be taken for the full prescribed course to ensure the infection is fully treated and to prevent antibiotic resistance.
B: Skipping a dose if 30 minutes late is not recommended. Most medications can be taken within a short window of the scheduled time. The patient should follow specific instructions provided by the healthcare provider.
C: Parenteral medications are administered via injection and do not need to be taken with food. This statement indicates a misunderstanding of the medication route.
D: Rotating the sites for a transdermal patch is correct. This practice helps prevent skin irritation and ensures consistent absorption of the medication.
Correct Answer is D
Explanation
A: Using a microwave for cooking is generally safe for older adults with decreased vision. Microwaves are user-friendly and reduce the risk of burns or fires compared to stovetops. However, it is important to ensure that the microwave is at an accessible height and that the user can read the controls or has them memorized.
B: Handrails in the bathroom are a safety feature, not a risk. They provide support and stability, reducing the likelihood of falls, which is crucial for individuals with decreased vision. Properly installed handrails can significantly enhance bathroom safety.
C: Electrical cords placed along the walls are typically not a safety risk if they are secured properly and do not create tripping hazards. It is important to ensure that cords are not loose or crossing walkways where they could cause falls.
D: Scatter rugs in the kitchen are a significant safety risk for older adults with decreased vision. These rugs can easily cause tripping and falling, especially if they are not secured with non-slip backing. Removing scatter rugs or securing them properly is essential to prevent accidents.
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