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. 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.

A. Bring the dropper from below the client's eye to instill the solution. B. Hold the ophthalmic solution 1 to 2 cm (1/2 to 3/4 in) above the lower conjunctival sac. C. Instill the drops into the inner canthus. D. Ask the client to look down when instilling the solution.

Correct Answer is B

Explanation

A. Bringing the dropper from below the client's eye is incorrect as it increases the risk of contamination from the eyelashes.
B. Holding the ophthalmic solution 1 to 2 cm (1/2 to 3/4 in) above the lower conjunctival sac allows for accurate instillation into the eye without touching the dropper tip to the eye or eyelashes.
C. Instilling drops into the inner canthus is incorrect; drops should be placed into the conjunctival sac to ensure proper absorption.
D. Asking the client to look down may help expose the lower conjunctival sac but is not the correct action for administering the drops.

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking levothyroxine for hypothyroidism. Which of the following indicates the client's dose is too high?

Correct Answer is C

Explanation

A nurse is preparing to administer ophthalmic solution to a client. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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