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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Prednisone typically does not cause fever as a side effect.
B. Ringing in the ears (tinnitus) is not commonly associated with prednisone use.
C. Prednisone can increase appetite and may cause weight gain, so feeling hungrier is an expected side effect that the client should anticipate.
D. Prednisone tends to increase blood sugar levels, so a decrease in blood sugar would not be expected.
Correct Answer is C
Explanation
A. Decreased temperature is a symptom of hypothyroidism, not hyperthyroidism which would indicate an overdose of levothyroxine.
B. Weight gain is more commonly associated with hypothyroidism, not hyperthyroidism caused by an overdose of levothyroxine.
C. Tachycardia (rapid heart rate) is a classic sign of hyperthyroidism, which can occur if the client's dose of levothyroxine is too high.
D. Bradypnea (slow breathing) is not typically associated with thyroid hormone overdosage.
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