A nurse is preparing to administer ear drops to a 2-year-old toddler who has an ear infection and a small amount of purulent drainage visible around the ear. Which of the following techniques should the nurse use when instilling the medication?
Firmly push a cotton ball into the ear canal after instilling drops.
Pull the child's ear auricle upward and outward just before instilling drops.
Apply clean gloves and clean the outer ear prior to instilling drops.
Warm the medication container for 10 seconds in a microwave oven prior to installation.
The Correct Answer is C
A. Firmly push a cotton ball into the ear canal after instilling drops. Firmly pushing a cotton ball into the ear canal is not recommended as it can cause irritation or damage to the ear canal. A loose cotton ball can be placed at the entrance of the ear canal to prevent the drops from leaking out, but it should not be inserted deeply.
B. Pull the child's ear auricle upward and outward just before instilling drops. For a child under 3 years old, the ear auricle should be pulled downward and backward to straighten the ear canal for proper administration of ear drops. Pulling upward and outward is appropriate for older children and adults.
C. Apply clean gloves and clean the outer ear prior to instilling drops. Applying clean gloves and cleaning the outer ear is essential for preventing infection and ensuring that the medication is administered properly. This is a standard procedure to maintain hygiene.
D. Warm the medication container for 10 seconds in a microwave oven prior to installation. Microwaving medication is not recommended as it can overheat and degrade the medication. Warming the drops by holding the container in your hands for a few minutes is safer and helps to avoid the discomfort of cold drops.
A. Firmly push a cotton ball into the ear canal after instilling drops. Firmly pushing a cotton ball into the ear canal is not recommended as it can cause irritation or damage to the ear canal. A loose cotton ball can be placed at the entrance of the ear canal to prevent the drops from leaking out, but it should not be inserted deeply.
B. Pull the child's ear auricle upward and outward just before instilling drops. For a child under 3 years old, the ear auricle should be pulled downward and backward to straighten the ear canal for proper administration of ear drops. Pulling upward and outward is appropriate for older children and adults.
C. Apply clean gloves and clean the outer ear prior to instilling drops. Applying clean gloves and cleaning the outer ear is essential for preventing infection and ensuring that the medication is administered properly. This is a standard procedure to maintain hygiene.
D. Warm the medication container for 10 seconds in a microwave oven prior to installation. Microwaving medication is not recommended as it can overheat and degrade the medication. Warming the drops by holding the container in your hands for a few minutes is safer and helps to avoid the discomfort of cold drops.
A. Firmly push a cotton ball into the ear canal after instilling drops. Firmly pushing a cotton ball into the ear canal is not recommended as it can cause irritation or damage to the ear canal. A loose cotton ball can be placed at the entrance of the ear canal to prevent the drops from leaking out, but it should not be inserted deeply.
B. Pull the child's ear auricle upward and outward just before instilling drops. For a child under 3 years old, the ear auricle should be pulled downward and backward to straighten the ear canal for proper administration of ear drops. Pulling upward and outward is appropriate for older children and adults.
C. Apply clean gloves and clean the outer ear prior to instilling drops. Applying clean gloves and cleaning the outer ear is essential for preventing infection and ensuring that the medication is administered properly. This is a standard procedure to maintain hygiene.
D. Warm the medication container for 10 seconds in a microwave oven prior to installation. Microwaving medication is not recommended as it can overheat and degrade the medication. Warming the drops by holding the container in your hands for a few minutes is safer and helps to avoid the discomfort of cold drops.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer: B. "I'll take this medication with a full glass of milk."
A. "I'll take this medication at least an hour before I eat a meal."
This statement indicates correct understanding. Tetracycline should ideally be taken on an empty stomach, which means taking it at least one hour before or two hours after meals to maximize absorption and effectiveness.
B. "I'll take this medication with a full glass of milk."
This statement indicates a need for further education. Tetracycline should not be taken with dairy products, including milk, because calcium in dairy can bind to the antibiotic and significantly reduce its absorption, making the medication less effective.
C. "I'll take this medication with a full glass of water on an empty stomach."
This statement demonstrates proper understanding. Tetracycline should be taken with a full glass of water and on an empty stomach to ensure optimal absorption and reduce the risk of gastrointestinal irritation.
D. "I'll stay out of direct sunlight while taking this medication."
This statement reflects correct knowledge about the medication. Tetracycline can increase sensitivity to sunlight (photosensitivity), so it is advisable for the client to avoid prolonged exposure to direct sunlight and use sunscreen to protect their skin.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"B"}}
Explanation
Place the infant in a knee-chest position: Indicated: ☑️
The knee-chest position is commonly used during a "tet spell," which involves episodes of cyanosis due to decreased oxygen levels. This position increases systemic vascular resistance, which helps redirect blood flow to the lungs, improving oxygenation.
Administer morphine via IV bolus: Indicated: ☑️
Morphine is used to calm the infant, reduce respiratory effort, and decrease pulmonary vascular resistance. It can help in reducing the severity of the tet spell by promoting better oxygenation.
Provide 100% oxygen by face mask: Indicated: ☑️
Administering 100% oxygen can help increase the amount of oxygen in the blood and reduce the effects of hypoxia. Oxygen is a vasodilator and can reduce pulmonary resistance, making it easier for the infant to oxygenate blood.
Request a prescription for a diuretic: Contraindicated: ☑️
Diuretics are generally not indicated in the acute management of tet spells. While they are used in conditions with fluid overload, their use in this context is not beneficial and could potentially worsen the infant's condition by causing dehydration and further reducing blood volume.
Perform nasopharyngeal suctioning for a maximum of 5 seconds: Contraindicated: ☑️
Nasopharyngeal suctioning can be stressful for the infant and may worsen cyanosis or provoke a tet spell due to increased agitation and respiratory effort. It's typically not recommended unless there's a clear indication for airway clearance.
Prepare to assist with the insertion of a chest tube: Contraindicated: ☑️
Chest tube insertion is not a treatment for tet spells or ToF. It is usually indicated for pneumothorax or significant pleural effusions, which are not related to the acute cyanotic episodes seen in ToF. Preparing for this procedure would be inappropriate in this scenario.
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