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.
None
None
The Correct Answer is A
Answer: A. Pull the auricle upward and outward.
Rationale:
A. Pull the auricle upward and outward:
Pulling the auricle upward and outward is the recommended technique for instilling ear drops in an adult. This method straightens the ear canal, allowing better access for the medication to reach the target area. It is essential for effective delivery and absorption of the otic suspension.
B. Pull the auricle downward and backward:
Pulling the auricle downward and backward is appropriate for children under three years old, as it aligns their shorter and straighter ear canal. In adults, this approach would not straighten the canal sufficiently for optimal medication instillation.
C. Pull the auricle upward and backward:
While pulling the auricle upward and backward can straighten the adult ear canal, the optimal direction to ensure the ear canal is fully open is upward and outward. This position allows the medication to reach deeper parts of the ear canal effectively.
D. Pull the auricle downward and outward:
Pulling the auricle downward and outward is not suitable for adults and does not provide the correct alignment for an adult ear canal. This technique is ineffective in reaching the canal's deeper parts in adult clients, thus limiting the efficacy of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The therapeutic relationship can be described in terms of four sequential phases: preinteraction phase, introduction/orientation phase, working phase, and termination phase . In the working phase, most of the therapeutic interventional activities are carried out . This is the phase where the nurse should help the client develop problem-solving skills.
The other options are not correct because:
a) The preinteraction phase starts when the nurse is given the responsibility to start a therapeutic relationship with a patient.
c) The introduction/orientation phase is the first meeting of the nurse with her client (patient).
d) The termination phase is the final stage of the nurse-client relationship.
Correct Answer is A
Explanation
Hyponatremia refers to a lower-than-normal level of sodium in the blood. Sodium is an essential electrolyte involved in various bodily functions, including maintaining fluid balance and transmitting nerve impulses. When sodium levels are low, it can lead to fluid imbalances, affecting the function of muscles and nerves. Muscle cramps are a common manifestation of hyponatremia and occur due to alterations in muscle excitability and contractility.
Constipation: Constipation is not typically associated with hyponatremia. It can occur due to various reasons, such as dietary factors, lack of physical activity, or other medical conditions, but it is not a direct consequence of low sodium levels.
Hypertension: Hyponatremia is not usually associated with hypertension (high blood pressure). Hypertension can be caused by several factors, including genetics, lifestyle, and certain medical conditions, but it is not directly related to low sodium levels.
Blurred vision: While blurred vision can occur in some medical conditions, such as diabetes or certain eye disorders, it is not a typical finding in hyponatremia. Visual disturbances are not a direct consequence of low sodium levels.
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