A nurse is preparing to administer an otic medication to an adult client. Which of the following actions should the nurse take first?

Ask the client to remain in a side-lying position with the affected ear down for several minutes after instillation.

Pull the client's pinna down and back prior to instillation.

Warm the medication to room temperature before administration.

Press a cotton ball into the client's ear canal after instillation.

Answer and Explanation

The Correct Answer is C

A. Asking the client to remain in a side-lying position comes after administering the drops to facilitate medication retention, but it's not the first action.
B. Pulling the client's pinna down and back straightens the ear canal, but this technique is used for children < 3years. For adults the pinna should be pulled upwards and outwards.
C. Warming the medication may not be necessary to prevent dizziness.
D. Placing a cotton ball in the ear canal after instillation is not necessary for otic medication administration and should not be done routinely.

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Correct Answer is C

Explanation

A. Metformin XR should not be crushed or chewed; it should be swallowed whole.
B. Metformin does not typically affect the color of urine, so this statement is incorrect.
C. Taking metformin with a meal helps to reduce gastrointestinal side effects such as nausea and diarrhea.
D. Metformin does not commonly cause an increase in perspiration, so this statement is incorrect.

A. Administer the medication as prescribed. B. Inform the client of her right to refuse any treatment. C. Contact the Occupational, Health, and Safety Administration (OSHA). D. Clarify the prescription with the provider.

Correct Answer is D

Explanation

A. Administering heparin without clarifying the client's existing anticoagulation therapy could lead to potential overdosing or adverse effects due to cumulative anticoagulant effects.
B. While informing the client of her right to refuse treatment is important, it does not address the potential risk of duplicative therapy in this situation.
C. Contacting OSHA is not relevant to the situation of clarifying medication orders.
D. Clarifying the prescription with the provider is essential to ensure the safety and appropriateness of administering heparin in the context of the client's existing therapy, preventing medication errors and ensuring optimal patient care.

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A nurse is preparing to administer an otic medication to an adult client. Which of the following actions should the nurse take first?

Nursing Test Bank

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