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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. Fowler's position is a semi-sitting position typically used for respiratory or cardiac conditions, not for rectal suppository administration.
B. Dorsal recumbent position is lying on the back with knees flexed, which is used for genital exams or urinary catheterization, not for rectal suppository administration.
C. Prone position is lying face down, which is not suitable for rectal suppository administration.
D. Sim's position, lying on the left side with the right knee flexed, facilitates rectal suppository insertion and retention.

A. Mix the medication in a bottle with the infant's regular formula and administer. B. Administer the medication with a needleless syringe placed in the buccal pouch. C. Hold the infant in a supine position for a few seconds after administration. D. Administer the medication quickly while the infant is securely restrained.

Correct Answer is B

Explanation

A. Mixing medication in a bottle with formula increases the risk of the infant not receiving the full dose and does not address the aspiration risk.
B. Administering medication with a needleless syringe placed in the buccal pouch allows for controlled, slow administration, minimizing the risk of aspiration.
C. Holding the infant in a supine position after administration is not sufficient to prevent aspiration during administration.
D. Administering medication quickly while the infant is restrained may increase the risk of aspiration due to rapid swallowing.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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