Which technique is the proper method to administer otic drops to an adult client?

Straighten the auditory canal by pulling it down and toward the front.

Gently pull the auricle up and back before instilling the drops.

Ask the client to lower the head and take a deep breath during the instillation.

Don sterile glove and gently insert one finger in the canal to promote the flow of the drops.

Answer and Explanation

The Correct Answer is B

Gently pull the auricle up and back before instilling the drops. This technique straightens the auditory canal and allows the drops to reach the eardrum.

It also prevents contamination of the ear canal by the finger.

Choice A is wrong because pulling the auditory canal down and toward the front is the proper method for children, not adults.

This technique is used for children because their auditory canal is shorter and more curved than adults.

Choice C is wrong because lowering the head and taking a deep breath during the instillation has no effect on the administration of otic drops.

It may also cause discomfort or dizziness for the client.

Choice D is wrong because wearing sterile gloves and inserting one finger in the canal is unnecessary and potentially harmful.

It may introduce bacteria or damage the ear canal or eardrum.

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Correct Answer is C

Explanation

Irrigating the tube with 30 mL of sterile saline as needed. This prescription should be questioned by the nurse because it may cause trauma to the kidney or dislodge the tube. The nurse should only irrigate the tube if ordered by the health care provider and with a smaller amount of fluid.

Choice A is wrong because monitoring the urine’s color and odor is an appropriate intervention for a client with a nephrostomy tube. The urine may be bloody or cloudy initially, but it should gradually clear.

Choice B is wrong because recording the intake and output every eight hours is also an appropriate intervention for a client with a nephrostomy tube. The nurse should measure and document the amount and characteristics of urine drainage and report any changes or abnormalities.

Choice D is wrong because measuring the vital signs every four hours during the day is a reasonable prescription for a client with a nephrostomy tube. The nurse should monitor the client for signs of infection, bleeding, or obstruction.

A. “Since I am taking Clozaril, I will need to have bloodwork performed weekly for six months.”. B. “I will urinate less when taking Clozaril, and that is normal.”. C. “I will use the Clozaril as needed for delusions and hallucinations.”. D. “Clozaril is now available over-the-counter and in a generic form.”.

Correct Answer is A

Explanation

“Since I am taking Clozaril, I will need to have bloodwork performed weekly for six months.” This indicates that the client understands that Clozaril (clozapine) is an antipsychotic medication that can affect the immune system and cause a serious blood disorder called agranulocytosis. The client needs to have regular blood tests to monitor the white blood cell count and prevent infections.

Choice B is wrong because Clozaril can cause urinary retention, not decreased urination. The client should be advised to report any difficulty or pain when urinating.

Choice C is wrong because Clozaril is not a PRN medication. It should be taken regularly as prescribed by the doctor to maintain a therapeutic level and prevent relapse of psychotic symptoms.

Choice D is wrong because Clozaril is not available over the counter or in a generic form. It is a controlled substance that requires a special program and a certified pharmacy to dispense it.

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Which technique is the proper method to administer otic drops to an adult client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which health care provider prescription for a client with a nephrostomy tube should a nurse question?

Correct Answer is C

Explanation

Which response by the client indicates that medication instruction by the RN has been effective?

Correct Answer is A

Explanation

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