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
Chemotherapeutic agents suppress the hematopoietic process reducing the number of mature platelets circulating in the blood which increases the risk of bleeding.
A. The client cannot infect others as breast cancer is not infectious. They should, however, avoid crowds to prevent contracting infections as their immunity is suppressed by the chemotherapeutic agents
C. Running the toothbrush in the dish washer increases risk of oral infections which is fatal
D. Prophylactic antiemetics are given before chemotherapy sessions
Correct Answer is A
Explanation
Grapefruit juice interacts with cyclosporine slowing down it's metabolism and excretion which can lead to increase blood levels potentially leading to toxicity. Clients taking cyclosporine should avoid consuming grapefruit juice.
B, C, D- smoked salmon, pepperoni, and orange juice do not typically have significant interactions with cyclosporine.
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