The nurse is preparing to administer ear drops to an adult client. Which of the following actions should the nurse plan to take?

Chill the otic solution prior to administration.

Pull the pinna upward and backward.

Avoid applying pressure to the tragus of the ear.

Don sterile gloves to instill the medication.

Answer and Explanation

The Correct Answer is B

A) Chill the otic solution prior to administration:
Chilling ear drops is not typically necessary or recommended. Cold solutions can cause discomfort or dizziness when instilled into the ear. Room temperature or slightly warmed ear drops are generally more comfortable for the client.

B) Pull the pinna upward and backward:
This is the correct action for administering ear drops to an adult client. Pulling the pinna (outer ear) upward and backward helps straighten the ear canal, allowing the drops to enter the ear canal properly.

C) Avoid applying pressure to the tragus of the ear:
The tragus is the small cartilaginous flap in front of the ear canal. Applying pressure to the tragus can help facilitate the flow of medication into the ear canal rather than avoiding it. Gently pressing on the tragus after instilling the drops can aid in distributing the medication.

D) Don sterile gloves to instill the medication:
Sterile gloves are not typically required for administering ear drops unless the nurse is dealing with a client with a compromised immune system or open ear canal. Standard precautions (clean hands) are usually sufficient for administering ear drops.

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Correct Answer is D

Explanation

A) A client taking a potassium supplement twice a day:
Taking potassium supplements can actually lower the risk of digoxin toxicity because hypokalemia (low potassium levels) increases the risk of digoxin toxicity. Potassium supplements help maintain adequate potassium levels, which is beneficial for clients taking digoxin.

B) A client taking aluminum hydroxide for gastric upset:
Aluminum hydroxide can bind to digoxin in the gastrointestinal tract, reducing its absorption. This interaction can decrease the effectiveness of digoxin rather than increase the risk of toxicity.

C) A client taking chlorpropamide for type 2 diabetes mellitus:
Chlorpropamide does not interact significantly with digoxin or affect electrolyte levels in a way that would increase the risk of digoxin toxicity.

D) A client taking furosemide for chronic hypertension:
Furosemide, a loop diuretic, can cause hypokalemia and hypomagnesemia, which are risk factors for digoxin toxicity. Low potassium levels enhance the toxicity of digoxin by increasing its binding to cardiac tissue receptors, leading to enhanced cardiac effects.

A. Take the medication with meals. B. Swallow the capsules whole. C. Stop taking the medication if you develop headaches. D. Take 1 capsule at the onset of anginal pain.

Correct Answer is B

Explanation

A) Take the medication with meals:
Nitroglycerin oral, sustained-release capsules should be taken on an empty stomach to enhance absorption. Taking them with meals may delay or alter the absorption rate, potentially affecting the medication's effectiveness.

B) Swallow the capsules whole:
Nitroglycerin sustained-release capsules should be swallowed whole without crushing or chewing. Breaking or crushing the capsules can lead to rapid release of the medication, which may cause adverse effects such as sudden drops in blood pressure or headaches.

C) Stop taking the medication if you develop headaches:
Headaches are a common side effect of nitroglycerin due to its vasodilatory effects. Clients are often advised to continue taking the medication as prescribed and inform their healthcare provider about persistent or severe headaches.

D) Take 1 capsule at the onset of anginal pain:
Nitroglycerin is typically used to relieve anginal pain when it occurs. However, sustained-release formulations are not intended for immediate relief of acute angina attacks. Fast-acting formulations like sublingual nitroglycerin tablets are used for acute pain relief.

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The nurse is preparing to administer ear drops to an adult client. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the morning laboratory results of electrolytes for four clients who are receiving digoxin. Which of the following clients should the nurse identify as being at risk for developing digoxin toxicity?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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