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) Neutropenia:
Neutropenia, a low level of neutrophils (a type of white blood cell), is not a typical adverse effect associated with atenolol. Atenolol primarily affects cardiovascular function rather than hematologic parameters like neutrophil count.

B) Anemia:
Anemia, a decrease in red blood cells or hemoglobin levels, is not commonly associated with atenolol use. Beta-blockers do not typically affect red blood cell production or hemoglobin levels.

C) Hypokalemia:
Hypokalemia, or low potassium levels, can occur with some medications, but it is not a well-documented adverse effect of atenolol specifically. Atenolol may affect potassium levels indirectly through its effects on the cardiovascular system, but it is not a primary adverse effect.

D) Bradycardia:
Atenolol is a beta-blocker medication that primarily works by slowing the heart rate and reducing the force of heart contractions. Bradycardia, or a slow heart rate, is a known adverse effect of beta-blockers like atenolol. It occurs due to the medication's mechanism of action in blocking beta-adrenergic receptors, which can lead to decreased heart rate.

A. "Take the medication on an empty stomach." B. "Stop taking the medication immediately for headache C. "Diarrhea is an adverse effect of this medication D. "Avoid driving until the medications effects are evident

Correct Answer is D

Explanation

A) "Take the medication on an empty stomach":
Taking baclofen with food can help reduce gastrointestinal side effects such as nausea. However, the instruction to take it on an empty stomach is not necessary or typically recommended. Ensuring consistent timing with or without food is more practical for adherence and reducing potential side effects.

B) "Stop taking the medication immediately for headache":
While headaches can be a side effect of baclofen, stopping the medication abruptly can lead to withdrawal symptoms or worsening of muscle spasticity. It's important to discuss any persistent or severe headaches with the healthcare provider to determine the appropriate management.

C) "Diarrhea is an adverse effect of this medication":
Diarrhea can indeed be a side effect of baclofen, but it is not one of the primary or most common side effects. Constipation is actually more frequently observed. Monitoring for gastrointestinal changes and discussing them with the healthcare provider is important for appropriate management.

D) "Avoid driving until the medication's effects are evident":
This instruction is crucial because baclofen can cause drowsiness or dizziness, especially when starting the medication or when the dosage is adjusted. It is important for the client to avoid activities such as driving until they are aware of how the medication affects them to ensure safety.

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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

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