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 C
Explanation
A) "I will take this medication with meals":
Taking phenytoin with meals or food can help reduce gastrointestinal upset and improve absorption. This statement demonstrates an understanding of the importance of timing in medication administration.
B) "I have made an appointment to see my dentist next week":
Regular dental check-ups are essential for clients taking phenytoin because it can cause gingival hyperplasia (overgrowth of gum tissue). This proactive approach indicates the client's awareness of potential side effects and the need for preventive dental care.
C) "I will be glad when my seizures stop so I can quit taking this medicine":
This statement indicates a misunderstanding about the management of epilepsy with phenytoin. Phenytoin is typically used as a long-term treatment to prevent seizures, not as a medication that can be stopped once seizures cease. This misunderstanding warrants further education about the chronic nature of epilepsy management.
D) "I will notify my provider before taking any other medications":
Phenytoin can interact with many other medications, affecting its efficacy or increasing the risk of side effects. Notifying the healthcare provider before starting any new medications is crucial to prevent potential drug interactions.
Correct Answer is B
Explanation
A) "I take my alendronate at the same day every week with an 8-ounce glass of milk":
Taking alendronate with a full glass of plain water, not milk or any other beverage, is recommended to optimize absorption and minimize the risk of esophageal irritation. Using milk may interfere with the absorption of the medication.
B) "I sit up and read the morning paper after taking my alendronate,":
While it's important to remain upright (sitting or standing) for at least 30 minutes after taking alendronate to prevent esophageal irritation and optimize absorption, reading the morning paper doesn't necessarily ensure the client remains in an upright position. This statement indicates a need for further instruction regarding the importance of post-dose positioning.
C) "I will need to have a bone density test occasionally while taking this medication":
Monitoring bone density periodically is recommended while on alendronate to assess treatment effectiveness and bone health status. This statement shows understanding of the need for ongoing monitoring and does not require further instruction.
D) "I take my other pills at least 30 min after my alendronate,":
Taking other medications at least 30 minutes after alendronate helps to avoid interactions that may reduce its effectiveness. This statement demonstrates correct timing and understanding of medication administration instructions.
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