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 B

Explanation

A) Serum calcium 10.5 mg/dL:
A serum calcium level of 10.5 mg/dL is within the normal range (8.5-10.5 mg/dL). Spironolactone does not typically affect calcium levels significantly.

B) Serum potassium 5.2 mEq/L:
An elevated serum potassium level (hyperkalemia) is a known adverse effect of spironolactone. Spironolactone is a potassium-sparing diuretic that inhibits aldosterone, leading to decreased potassium excretion and potential hyperkalemia, especially in clients with impaired renal function.

C) Serum chloride 99 mEq/L:
A serum chloride level of 99 mEq/L is within the normal range (96-106 mEq/L). Spironolactone does not typically affect chloride levels significantly.

D) Serum sodium 140 mEq/L:
A serum sodium level of 140 mEq/L is within the normal range (135-145 mEq/L). Spironolactone does not typically affect sodium levels significantly.

A. Cimetidine 300 mg PO four times per day B. Furosemide 80 mg PO daily C. Acyclovir 400 mg PO twice daily D. Meloxicam 5 mg PO once daily

Correct Answer is B

Explanation

A) Cimetidine 300 mg PO four times per day:
Cimetidine, a histamine-2 (H2) receptor antagonist used to treat gastric acid-related disorders, does not typically affect potassium levels. Its mechanism of action involves reducing stomach acid production rather than impacting electrolyte balance.

B) Furosemide 80 mg PO daily:
Furosemide is a loop diuretic that inhibits sodium and chloride reabsorption in the loop of Henle, leading to increased urinary excretion of potassium (potassium wasting). This mechanism can result in hypokalemia, especially with higher doses or prolonged use.

C) Acyclovir 400 mg PO twice daily:
Acyclovir is an antiviral medication primarily used for herpes simplex virus infections. It does not have a known association with causing hypokalemia.

D) Meloxicam 5 mg PO once daily:
Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) used for pain relief and inflammation. It does not affect potassium levels and is not associated with causing hypokalemia.

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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?

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