A nurse is preparing to instill an otic suspension into an adult client's ear.
Which of the following methods should the nurse plan to use?
Pull the auricle upward and outward.
Pull the auricle downward and backward.
Pull the auricle upward and backward.
Pull the auricle downward and outward.
The Correct Answer is C
Answer: C. Pull the auricle upward and backward.
Rationale:
A) Pull the auricle upward and outward:
Pulling the auricle upward and outward can be beneficial for visualizing the ear canal in some cases. However, this method is not the standard recommendation for instilling otic drops in adults. The proper technique helps ensure the medication reaches the appropriate part of the ear canal.
B) Pull the auricle downward and backward:
This method is generally recommended for children under the age of three, as their ear canals are positioned differently than adults. For adults, pulling the auricle in this direction may not adequately straighten the ear canal, potentially affecting the delivery of the otic suspension.
C) Pull the auricle upward and backward:
This method is the most appropriate for adults because it helps straighten the ear canal, allowing the medication to flow more effectively into the ear. Proper positioning ensures that the otic suspension reaches the intended area and provides the desired therapeutic effect.
D) Pull the auricle downward and outward:
Pulling the auricle downward and outward is not typically used for instilling otic medications in adults. This method may not adequately open the ear canal, which is necessary to ensure the proper administration of the otic suspension and effective treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer and explanation is:
b. "Leave the prosthesis in place when going to bed."
The nurse should instruct the client to leave the prosthesis in place when going to bed. This is because some individuals may need to wear their prosthesis during sleep to maintain body alignment, prevent contractures, and promote independence. However, it is important to note that this instruction may vary depending on the individual's specific situation and the recommendation of their healthcare provider.
Explanation for the other options:
a. "Keep initial pressure dressing in place for 1 week after surgery." After an above-the-knee amputation, the initial pressure dressing is typically removed within the first few days after surgery, and the wound is then managed with appropriate dressings. The specific duration of dressing use may vary based on the surgeon's preference and the healing progress of the wound.
c. "Avoid extension of the hips when lying down." While maintaining proper body positioning and avoiding excessive hip extension is important for individuals with an above-the-knee amputation, this instruction does not specifically address the use of a prosthesis.
d. "Clean the prosthesis using a damp, soapy cloth." Cleaning the prosthesis using a damp, soapy cloth can be a part of routine prosthesis maintenance, but it is important to follow the manufacturer's instructions and any specific guidelines provided by the prosthetist or healthcare provider. The cleaning method may vary depending on the type of prosthesis and materials used.
Correct Answer is C
Explanation
Echolalia is the repetition of words or phrases spoken by others. In this case, the client is repeating the nurse's question, "How are you?" This is an example of echolalia.
a) "I am lovistrated" is an example of neologism, which is the creation of new words.
b) "Super, trooper, and duper" is an example of clang association, which is the use of words that sound alike but have no logical connection.
d) "Pink spots in Africa" is an example of a thought disorder, which is a disruption in the organization and expression of thoughts.
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