A nurse is preparing to administer ofloxacin otic drops to an adult client who has otitis externa.
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.

Apply gentle pressure with a finger to the tragus of the ear.

Straighten the external auditory canal by pulling it down and back.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C. Apply gentle pressure with a finger to the tragus of the ear.

Choice A rationale:

Chilling the medication prior to administration is not recommended. Cold ear drops can cause dizziness or discomfort when instilled into the ear. It is generally advised to warm the drops to body temperature by holding the bottle in your hands for a few minutes before administration.

Choice B rationale:

Holding the dropper against the ear canal while instilling the medication is incorrect. The dropper should be held above the ear canal to avoid contamination and injury. Touching the dropper to the ear canal can introduce bacteria and cause infection.

Choice C rationale:

Applying gentle pressure with a finger to the tragus of the ear helps to facilitate the flow of the medication into the ear canal. This action helps to ensure that the medication reaches the affected area effectively.

Choice D rationale:

Straightening the external auditory canal by pulling it down and back is incorrect for adults. For adults, the correct method is to pull the ear up and back to straighten the ear canal. Pulling it down and back is the method used for children.

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Correct Answer is B

Explanation

Choice A rationale:

Constipation is not a common side effect of lithium carbonate.

Choice B rationale:

Thyroid enlargement is a known side effect of lithium carbonate. Lithium can cause hypothyroidism, which may result in an enlarged thyroid.

Choice C rationale:

Hyporeflexia is not typically associated with lithium carbonate use.

Choice D rationale:

Elevated blood pressure is not a common side effect of lithium carbonate.

So, the correct answer is B.

A. 1 cup (8oz) plain low-fat yogurt. B. 1 cup (8oz) of applesauce. C. 1 cup (8 oz) cooked spinach. D. 1 oz of cheddar cheese.

Correct Answer is B

Explanation

Choice A rationale:

1 cup (8oz) plain low-fat yogurt. This is incorrect choice. Yogurt is a high-protein food that can increase nausea and reduce the absorption of levodopa/carbidopa. According to the American Parkinson Disease Association, taking levodopa/carbidopa with a small, low-protein snack can help with nausea symptoms.

Choice B rationale:

1 cup (8oz) of applesauce. This is a correct choice. Applesauce is a low-protein, low-fiber food that can help reduce nausea and improve the absorption of levodopa/carbidopa. According to Drugs.com, taking levodopa/carbidopa with foods that have a high fiber content can delay the drug’s absorption into the body. Applesauce also contains natural sugars that can provide some energy and hydration to the client.

Choice C rationale:

1 cup (8 oz) cooked spinach. This is an incorrect choice. Spinach is a high-protein, high-fiber food that can increase nausea and decrease the absorption of levodopa/carbidopa. According to the Parkinson’s Foundation3, dietary protein can interfere with the absorption of levodopa by competing with the same transporter in the gut and the brain. High-fiber foods can also slow down the gastric emptying and reduce the drug’s availability.

Choice D rationale:

1 oz of cheddar cheese. This is an incorrect choice. Cheese is a high-protein, high-fat food that can increase nausea and decrease the absorption of levodopa/carbidopa. According to the Parkinson’s Foundation, dietary protein can interfere with the absorption of levodopa by competing with the same transporter in the gut and the brain. High-fat foods can also delay the gastric emptying and reduce the drug’s availability.

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A nurse is preparing to administer ofloxacin otic drops to an adult client who has otitis externa. Which of the following actions should the nurse take?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who takes lithium carbonate for bipolar disorder.For which of the following findings should the nurse monitor as an adverse effect of lithium carbonate?.

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who has Parkinson's disease. The client tells the nurse that he gets nausea when he takes his prescribed levodopa/carbidopa. Which of the following foods should the nurse recommend the client take with the medication?.

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client who has a prescription for lithium carbonate to treat bipolar disorder.Which of the following instructions should the nurse include?.

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A nurse is preparing to administer ofloxacin otic drops to an adult client who has otitis externa.
Which of the following actions should the nurse take?.