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. Administering heparin without clarifying the client's existing anticoagulation therapy could lead to potential overdosing or adverse effects due to cumulative anticoagulant effects.
B. While informing the client of her right to refuse treatment is important, it does not address the potential risk of duplicative therapy in this situation.
C. Contacting OSHA is not relevant to the situation of clarifying medication orders.
D. Clarifying the prescription with the provider is essential to ensure the safety and appropriateness of administering heparin in the context of the client's existing therapy, preventing medication errors and ensuring optimal patient care.

A. Atropine B. Vitamin K C. Protamine D. Epinephrine

Correct Answer is B

Explanation

A. Atropine is not used as an antidote for warfarin overdose. It is primarily used to treat bradycardia and certain types of heart block.
B. Vitamin K is the antidote for warfarin overdose. Warfarin inhibits vitamin K-dependent clotting factors, and vitamin K helps reverse its effects by promoting clotting factor synthesis in the liver.
C. Protamine is used as an antidote for heparin, not warfarin. It binds to heparin to neutralize its anticoagulant effects.
D. Epinephrine is not used as an antidote for warfarin overdose. It is primarily used in emergencies such as severe allergic reactions (anaphylaxis) or cardiac arrest.

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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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Correct Answer is D

Explanation

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Correct Answer is B

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