A nurse is preparing to instill eardrops to a 5-year-old child. Which of the following techniques should the nurse use?

Pull the auricle down and out.

Pull the auricle down and back.

Pull the auricle up and out.

Pull the auricle up and back.

Answer and Explanation

The Correct Answer is B

pulling the auricle down and back, is recommended for pediatric clients for proper visualization. It also helps prevent the eardrops from pooling at the entrance of the ear canal, allowing them to flow more effectively into the ear.

A, pulling the auricle down and out is not recommended as it may lead to pooling of the drop and spillage

C This is not recommended in children

D Pulling the auricle up and back is recommended for adults.

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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.

A. Tap the top of the ampule, place a sterile gauze pad around the ampule neck. and break off the top by bending it toward the body. B. Tap the bottom of the ampule, place gauze pad around the ampule neck, and break off the bottom with a forward motion away from the body. C. Wear sterile gloves and break Off the neck of the glass ampule with a single snap to the right side. D. Wear sterile gloves and break off the neck of the glass ampule with a single snap in a downward motion.

Correct Answer is A

Explanation

A Tapping at the top ansure all the medication is settled down to prevent inadequate dosing. Breaking off should be done towards the bodyto prevent injury due to the splashing glass particles

B Tapping the ampule should be done at the top, not bottom, to ensure that any medication at the neck or top is displaced to the bottom. Breaking off the top with a forward motion towardsthe body reduces the risk of injury from glass shards.

C, D- It is not a sterile procedure hence no need for sterile gloves

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A nurse is preparing to instill eardrops to a 5-year-old child. Which of the following techniques should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

A nurse is caring for a client Who requires a medication that is packaged in a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule?

Correct Answer is A

Explanation

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