A nurse is caring for an infant who needs otic medication. Which of the following is an appropriate action for the nurse to take?
Ensure that the medication is at room temperature.
Hyperextend the infant's neck.
Pull the pinna downward and straight back.
Hold the infant in an upright position.
The Correct Answer is C
Choice A reason: Medication should not be cool as it can cause discomfort or even reflexive actions like vomiting or vertigo. It should be at room temperature⁷.
Choice B reason: Hyperextending the infant's neck is not necessary and could be uncomfortable or unsafe. The position should be natural and comfortable⁷.
Choice C reason: Pulling the pinna downward and straight back is the correct method for infants to straighten the ear canal for proper administration of otic medication⁷.
Choice D reason: Holding the infant in an upright position is not ideal for otic medication administration. The infant should be lying down or sitting with the affected ear facing up⁷.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A blood creatinine level of 1.3 mg/dL is elevated for a school-age child and indicates impaired kidney function, which is a concern in acute glomerulonephritis.
Choice B reason: A urine output of 550 mL in 24 hours is within the normal range for a school-age child and does not need to be reported unless there is a significant change.
Choice C reason: A blood pressure of 100/74 mm Hg is within the normal range for a school-age child and does not indicate an immediate concern.
Choice D reason: A BUN level of 8 mg/dL is within the normal range for a school-age child and does not need to be reported unless there is a significant change.
Correct Answer is ["B","C","D"]
Explanation
Choice A reason: The inability to retract foreskin is not typically associated with epispadias. This condition is characterized by the urethral opening being on the dorsal side of the penis.
Choice B reason: In epispadias, the urethral opening is located on the dorsal side of the penis, which is a key characteristic of this condition.
Choice C reason: A widened pubic symphysis is often seen in epispadias due to the associated pelvic bone structure abnormalities.
Choice D reason: Bladder exstrophy is commonly associated with epispadias and involves the bladder being exposed outside the abdomen.
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