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 B

Explanation

A. Black, tarry stools are not an expected effect of subcutaneous heparin; this symptom should be reported to a healthcare provider.
B. Using a soft bristle toothbrush is recommended to minimize the risk of bleeding gums, which can occur due to heparin's anticoagulant effects.
C. Subcutaneous heparin should be injected into the fatty tissue of the abdomen or thigh, not deep into the muscle.
D. Easy bruising is a potential side effect of heparin but does not indicate effectiveness; it should be monitored and reported if excessive.

A. Instill the ophthalmic medication directly on the client's cornea. B. Apply gentle pressure to the client's nasolacrimal duct after instillation. C. Clean the client's eye from the outer canthus to the inner canthus before instillation. D. Ask the client to tightly squeeze their eyes shut after the instillation.

Correct Answer is B

Explanation

Instilling the ophthalmic medication directly on the client's cornea is incorrect and could cause discomfort or injury.
B. Applying gentle pressure to the client's nasolacrimal duct after instillation helps to reduce systemic absorption of the medication and minimize side effects.
C. Cleaning the client's eye from the outer canthus to the inner canthus is unnecessary and not a recommended procedure before instillation.
D. Asking the client to tightly squeeze their eyes shut after instillation may not affect the absorption of the medication and is not necessary.

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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?

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