A nurse is preparing to instill ear drops to a 3-year-old child. Which of the following techniques should the nurse use?
Pull the auricle down and back,
Pull the auricle up and out.
Pull the auricle down and out.
Pull the auricle up and back.
The Correct Answer is A
Pediatric clients have a straighter and shorter ear canal as compared to adults. Pulling the auricle down and back helps straighten the ear canal, allowing easier administration of the eardrops and ensuring that they reach the tympanic membrane. This technique is preferred to avoid injury to the ear canal and tympanic membrane
B. Pulling the auricle down and out inhibits visualization of the canal
C. Pulling the auricle down and back obstructs the ear canal and hinder the proper administration of eardrops.
D. Pulling the auricle up and out is used in adults
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Correct Answer is B
Explanation
A. The symptoms described (flushing and tachycardia) are not indicative of an anaphylactic reaction, which typically includes symptoms like difficulty breathing, hives, or swelling. Documenting it as an anaphylactic reaction would be misleading and could lead to inappropriate management.
B. Slowing the infusion rate can help mitigate the symptoms of Red Man Syndrome, which is often related to the rate of vancomycin administration. The recommended infusion rate for vancomycin is generally over at least 60 minutes, and reducing the rate can help alleviate symptoms.
C. Applying cold compresses should help with pain but as important like documentation.
D. The infusion should be continued and not used again for the client.
Correct Answer is B
Explanation
A. Taking the medication on an empty stomach is not necessary
B. Storing the medication at room temperature is correct to prevent degradation and reduced efficacy.
C. The duration of treatment with nystatin suspension varies depending on the severity of the infection as fungal infections require days to weeks to clear completely
D.After swishing, it's usually recommended to hold the medicine in the mouth for as long as possible before swallowing, to maximize its effectiveness
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