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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
To determine how many hydrochlorothiazide tablets to administer per dose, we can perform a simple calculation:
Identify the prescribed dose: The nurse needs to administer 25 mg of hydrochlorothiazide per dose.
Identify the tablet strength: Each available tablet contains 50 mg of hydrochlorothiazide.
Calculate the number of tablets: We need to find out how many 50 mg tablets are needed to deliver the prescribed 25 mg dose.
Here, dividing the prescribed dose by the tablet strength will tell us how many tablets are required:
Number of tablets = Prescribed dose / Tablet strength
Number of tablets = 25 mg / 50 mg/tablet
Since the division results in 0.5, we need to round to the nearest whole number for medication administration.
Therefore, the nurse should administer 1 tablet of hydrochlorothiazide per dose.
Correct Answer is D
Explanation
A) Pantoprazole:
Pantoprazole is a proton pump inhibitor used to reduce stomach acid. It does not typically require withholding before radiological studies with IV contrast dye.
B) Simvastatin:
Simvastatin, a statin medication used to lower cholesterol, does not need to be withheld before radiological studies with IV contrast dye.
C) Valsartan:
Valsartan, an angiotensin II receptor blocker used for hypertension, does not typically need to be withheld before radiological studies with IV contrast dye.
D) Metformin:
Metformin, an oral antidiabetic medication, should be withheld before radiological studies with IV contrast dye. There is a risk of lactic acidosis when metformin interacts with IV contrast dye, particularly in clients with impaired renal function.
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