The nurse is preparing to administer ear drops to an adult client.
Which of the following actions should the nurse plan to take?.
Avoid applying pressure to the tragus of the ear
Pull the pinna upward and backward.
Don sterile gloves to instill the medication.
Chill the otic solution prior to administration.
The Correct Answer is B
Choice A rationale:
Applying pressure to the tragus of the ear can help move the liquid in deeper. Therefore, this statement is incorrect.
Choice B rationale:
For adults, the pinna should be pulled upward and backward to straighten the ear canal. Therefore, this statement is correct.
Choice C rationale:
Sterile gloves are not necessary when administering ear drops. Therefore, this statement is incorrect.
Choice D rationale:
Ear drops should be at room temperature. If they’re too cold or hot, they can make you feel dizzy and disoriented. Therefore, this statement is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Sore throat can be a sign of neutropenia, a condition characterized by low levels of neutrophils, which are white blood cells that help fight off infections. This is a serious side effect of captopril and requires immediate medical attention.
Choice B rationale:
Headache is a common side effect of many medications, including captopril, but it is not usually a cause for concern.
Choice C rationale:
Stuffy nasal passages are not typically associated with captopril use.
Choice D rationale:
Metallic taste is a common side effect of captopril, but it is not usually a cause for concern.
Correct Answer is A
Explanation
Choice A rationale:
The client’s potassium level is high (normal range is 3.6 to 5.2 mEq/L123), so the nurse should inform the provider before administering more potassium.
Choice B rationale:
Holding the medication until the client has his evening meal is not appropriate because the client’s potassium level is already high.
Choice C rationale:
Giving the medication as prescribed is not appropriate because the client’s potassium level is already high.
Choice D rationale:
Obtaining a prescription to increase the dosage of the medication is not appropriate because the client’s potassium level is already high.
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