A nurse is preparing to administer dexamethasone otic drops to an adult client who has an ear infection. Which of the following actions should the nurse take?
Chill the medication prior to administration.
Hold the dropper against the ear canal while instilling the medication.
Straighten the external auditory canal by pulling it down and back.
Apply gentle pressure with a finger to the tragus of the ear.
The Correct Answer is D
A. Chilling the medication is not necessary for otic drops and could cause discomfort to the client.
B. Holding the dropper against the ear canal is not recommended as it may cause injury to the ear canal.
C. The external auditory canal should be straightened by pulling the ear upward and backward for an adult, which facilitates the drops to flow down into the ear canal.
D. Gentle pressure applied to the tragus of the ear can help in distributing the medication evenly within the ear canal.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Aspiration is not necessary for subcutaneous insulin injections and is not recommended as it may cause unnecessary trauma.
B. Insulin injections should be administered subcutaneously, typically in the abdomen, but not specifically 2.5 cm from the navel.
C. Insulin injections are not administered into muscle but into the subcutaneous tissue.
D. NPH insulin should be gently rolled between the palms to mix evenly before administration to ensure the suspension is well-mixed.
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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