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.

Answer and Explanation

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 D

Explanation

During the first week or last week of a 28-day cycle pack of oral contraceptives increases the risk of contraceptive failure. However, the client should take the missed dose as soon as they remember, even if it means taking two pills in one day. After taking the missed dose, the client should continue taking the remaining pills in the pack at the usual time, one pill per day. Due to increased risk of failure, client should use an emergency pill or condom for the next 7 days
A -stopping the pills and switching to a different contraceptive method is not necessary after missing one dose
B –missing a pill does not automatically indicate pregnancy. Testing can be considered in presence of typical signs and symptoms of pregnancy
C- abstaining from vaginal intercourse until after the next period is not necessary. Risk of pregnancy can be addressed by use of back up contraception like condoms.

A. Call the prescribing physician and inform her of the client's serum potassium level results. B. Omit the KCL dose and document it was not given. C. Call the lab to verify the client's results. D. Give the ordered KCL as prescribed.

Correct Answer is A

Explanation

potassium level of 5.2 mEq/L is above the normal range (3.5-5.0 mEq/L), indicating hyperkalemia. Giving potassium chloride (KCL) to a client with hyperkalemia can exacerbate the condition and lead to life- threatening cardiac arrhythmias. It is crucial to notify the physician promptly so that appropriate action can be taken, such as adjusting the dosage of potassium supplementation or discontinuing it altogether.
B. Omitting the KCL dose without consulting the physician is not appropriate as further instructions are needed.
C. Calling the lab to verify the client's results is unnecessary since the nurse already has the laboratory results. The focus should be on informing ensuring client safety.
D. Giving the ordered KCL as prescribed is not appropriate as administering potassium in the presence of hyperkalemia can be dangerous and should be avoided until further guidance is obtained from the physician.

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A nurse is preparing to instill ear drops to a 3-year-old child. Which of the following techniques should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse at a family practice clinic receives a call from a client who is prescribed oral contraceptives but forgot to take one dose. The client reports she is in the first week of a 28-day cycle pack. Which of the following instructions should the nurse provide?

Correct Answer is D

Explanation

A nurse is caring for a client Who has a prescription for potassium chloride (KCL) 20 mEq PO daily. The nurse reviews the client's most recent laboratory results and finds the client's potassium level is 5.2 mEq/I— Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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