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) Have suction equipment at the bedside:
Having suction equipment at the bedside is not specifically related to the administration of clopidogrel. It may be necessary for clients with respiratory or airway concerns but is not directly associated with this medication.

B) Monitor the client for black, tarry stools:
Clopidogrel is an antiplatelet medication that can increase the risk of bleeding, including gastrointestinal bleeding. Monitoring for black, tarry stools is essential as it can indicate upper gastrointestinal bleeding, which is a potential adverse effect of clopidogrel therapy.

C) Initiate contact precautions:
Contact precautions are not required for clients taking clopidogrel. Clopidogrel does not pose an infection risk that would necessitate contact precautions.

D) Administer the medication with each meal:
Clopidogrel is typically administered once daily, regardless of meals. There is no specific requirement to administer it with each meal.

A. Pantoprazole B. Simvastatin C. Valsartan D. Metformin

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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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 caring for a client who has a prescription for clopidogrel. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination?

Correct Answer is D

Explanation

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