A nurse is preparing to instill an otic medication for an adult client. Which of the following actions should the nurse take?
Cleanse the client's outer ear with isopropyl alcohol to remove wax.
Pull the client's pinna downward and back.
Hold the ear dropper 1 cm (0.5 in) from the client's ear.
Request the client remain supine for 10 min following administration.
The Correct Answer is C
Rationale:
A. Cleansing the client's outer ear with isopropyl alcohol to remove wax is not recommended because it can cause irritation and dryness.
B. Pulling the client's pinna downward and back is an incorrect technique for instilling otic medication in an adult client. An adult ear should be pulled upwards and backwards.
C. Holding the ear dropper 1 cm (0.5 in) from the client's ear is accurate.
D. Requesting the client remain supine for 10 min following administration is not necessary and may not be practical, instead the client should lie on the contralateral side.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Tortuous veins are a common finding in clients with deep-vein thrombosis and may not require immediate reporting.
B. Clammy skin may be a sign of poor circulation but is not specific to deep-vein thrombosis and may not require immediate reporting.
C. Bradycardia is not typically associated with deep-vein thrombosis and may not require immediate reporting.
D. Calf swelling is a common sign of deep-vein thrombosis and should be reported to the provider immediately.
Correct Answer is B
Explanation
Rationale:
A. Taking a 1-hour nap each day may disrupt the client's sleep-wake cycle and make it more difficult to sleep at night.
B. Drinking a glass of milk before bedtime can promote sleep because milk contains tryptophan, an amino acid that can help induce sleep.
C. Taking a long walk before bedtime may increase the client's energy level and make it more difficult to sleep.
D. Watching television in bed can disrupt the client's sleep-wake cycle and make it more difficult to sleep.
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