A nurse is teaching a client's partner how to administer an optic medication to the client. Which of the following statements by the client's partner indicates an understanding of the teaching?
"I will have my partner tilt their head back while I am instilling the drops."
"I will make sure the solution is cool prior to instilling the drops."
"I will pull the pinna upward and outward prior to instilling the drops."
"I will have my partner lie down on their back while I am instilling the drops."
The Correct Answer is C
Choice A Reason:
"I will have my partner tilt their head back while I am instilling the drops." Is incorrect. Tilting the head back is not typically recommended for administering optic medication as it might cause the medication to flow out instead of remaining in the ear canal.
Choice B Reason:
"I will make sure the solution is cool prior to instilling the drops." Is incorrect. The temperature of the solution usually doesn't need to be adjusted before instilling optic drops unless directed otherwise by specific medication instructions or healthcare provider guidance.
Choice C Reason:
"I will pull the pinna upward and outward prior to instilling the drops." Is correct statement. Pulling the pinna (outer ear) upward and outward helps straighten the ear canal in adults, facilitating the proper administration of optic (ear) drops. This action helps ensure that the medication reaches the ear canal effectively.
Choice D Reason:
"I will have my partner lie down on their back while I am instilling the drops." Is incorrect statement.
Having the partner lie down on their back might not be necessary for administering optic medication and might not be the optimal position for effective instillation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Remove duplicate medications of different dosages from the reconciliation is incorrect. Removing duplicate medications with different dosages from the reconciliation is indeed essential. However, the primary focus during transfer is to compare the current medication list with the new regimen to avoid omissions or discrepancies in the transition process.
Choice B Reason:
Compare the current list of medications to medications the client will receive after transform is correct. Comparing the current list of medications, the client is taking to the medications they are expected to receive after transfer is crucial for ensuring a seamless transition of care. This process helps identify discrepancies, potential interactions, or changes in the medication regimen between settings, ensuring the continuity and accuracy of medication administration.
Choice C Reason:
Omit over-the-counter medications from the at-home medication list is incorrect. Over-the-counter medications should ideally be included in the medication reconciliation process to provide a comprehensive overview of all medications the client is taking, including potential interactions with prescribed medications.
Choice D Reason:
Include medications the client received in the acute setting but will no longer need after transfer is incorrect. The reconciliation process should aim to update the medication list to reflect the client's current and future medication needs accurately. Including medications, the client received in the acute setting but won't need after transfer might introduce unnecessary medications into the new regimen. These should be communicated but not included in the ongoing medication list.
Correct Answer is C
Explanation
Choice A Reason:
Nausea is incorrect. Nausea is a common side effect of many medications, including antibiotics like amoxicillin. While it can be a side effect of an allergic reaction, it's also a general symptom that can occur due to various reasons, such as gastrointestinal upset or the direct effects of the antibiotic on the stomach lining. Nausea alone is less specific for indicating an allergic reaction compared to severe symptoms like laryngeal edema.
Choice B Reason:
Insomnia is incorrect. Insomnia, or difficulty sleeping, is not a typical manifestation of an allergic reaction to amoxicillin. Allergic reactions usually involve more immediate and visible symptoms such as skin rash, itching, swelling, difficulty breathing, or in severe cases, anaphylaxis. Insomnia is not a common symptom associated with allergic responses to antibiotics.
Choice C Reason:
Laryngeal edema is correct. Laryngeal edema, or swelling of the larynx, is a serious symptom of an allergic reaction known as anaphylaxis. This severe allergic reaction can be life-threatening due to its potential to obstruct the airway, leading to breathing difficulties.
Choice D Reason:
Cardiac dysrhythmia is incorrect. While medications can sometimes affect heart rhythms, cardiac dysrhythmia is not a common symptom of an allergic reaction to amoxicillin. Allergic reactions tend to manifest with more immediate symptoms like skin reactions, respiratory issues, or swelling rather than primarily affecting the heart rhythm.

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