A nurse is administering an otic medication to an older adult patient.
Which of the following actions should the nurse take to ensure the medication reaches the inner ear?

Gently press on the tragus of the patient’s ear.

Pack a small piece of cotton deep into the patient’s ear canal.

Move the patient’s auricle down and back towards their head.

Tilt the patient’s head backward for 5 minutes.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Pressing gently on the tragus of the ear after administering the medication can help the medication to reach the inner ear.

Choice B rationale

Packing a small piece of cotton deep into the patient’s ear canal is not recommended as it can cause damage to the ear.

Choice C rationale

Moving the patient’s auricle down and back towards their head is not necessary when administering otic medication.

Choice D rationale

Tilting the patient’s head backward for 5 minutes is not required when administering otic medication.

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Correct Answer is B

Explanation

Choice A rationale

Inserting the suction catheter while the patient is swallowing is not the recommended technique for nasotracheal suctioning. This could cause discomfort and potentially lead to aspiration.

Choice B rationale

Applying intermittent suction when withdrawing the catheter is the correct technique for nasotracheal suctioning. This helps to remove secretions effectively while minimizing trauma to the nasal and tracheal mucosa.

Choice C rationale

Placing the catheter in a location that is clean and dry for later use is not a recommended practice. After suctioning, the catheter should be properly cleaned or disposed of to prevent infection.

Choice D rationale

Holding the suction catheter with their clean, non-dominant hand is not a recommended practice. The nurse should use clean gloves and proper hand hygiene when performing nasotracheal suctioning to prevent infection.

A. A client who has a prescription for a nasogastric tube refuses it, and the nurse complies with the client’s wishes. B. A client who has a do-not-resuscitate (DNR) order experiences a cardiac arrest, and the nurse does not perform CPR despite requests from the client’s family. C. A client who is about to undergo a painful procedure receives pain medication 30 minutes before the procedure, as the nurse had previously promised. D. A client who is unaware of their recent cancer diagnosis asks the nurse if they have cancer, and the nurse responds affirmatively.

Correct Answer is D

Explanation

Choice A rationale

This choice represents the ethical principle of autonomy, which respects the client’s rights and preferences in their healthcare decisions.

Choice B rationale

This choice demonstrates the ethical principle of fidelity, which involves keeping promises and commitments, such as honoring a DNR order.

Choice C rationale

This choice reflects the ethical principle of beneficence, which involves taking positive actions to help others and promote the well-being of clients.

Choice D rationale

This choice represents the ethical principle of veracity, which involves truth-telling. In this situation, the nurse is being truthful to the client about their cancer diagnosis, thus demonstrating veracity.

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A nurse is administering an otic medication to an older adult patient.Which of the following actions should the nurse take to ensure the medication reaches the inner ear?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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A nurse is administering an otic medication to an older adult patient.
Which of the following actions should the nurse take to ensure the medication reaches the inner ear?