A 2-year-old child is ordered to have eardrops daily. Which action will the nurse take?
Pull the auricle upward and outward to straighten the ear canal.
Pull the auricle down and back to straighten the ear canal.
Sit the child up to insert the cotton ball into the innermost ear canal.
Sit the child up for 2 to 3 minutes after instilling drops in the ear canal.
The Correct Answer is B
A: Pulling the auricle upward and outward is the correct technique for adults and children over 3 years old, not for a 2-year-old child.
B: Pulling the auricle down and back is the correct technique for straightening the ear canal in children under 3 years old. This allows for proper administration of the eardrops.
C: Sitting the child up to insert a cotton ball into the innermost ear canal is not appropriate. Cotton balls should not be inserted deeply into the ear canal.
D: Sitting the child up for 2 to 3 minutes after instilling drops is not necessary. The child should remain in a position that allows the drops to stay in the ear canal for the prescribed time.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A: Checking the client’s skin every 8 hours is not frequent enough to prevent skin breakdown in a client with urinary incontinence. More frequent checks are necessary to identify and address any issues promptly.
B: Cleaning the client’s skin and perineum with hot water can cause skin irritation and dryness. It is better to use lukewarm water and gentle cleansers to maintain skin integrity.
C: Applying a moisture barrier ointment to the client’s skin is an effective way to prevent skin breakdown. The ointment creates a protective barrier that helps keep moisture away from the skin, reducing the risk of irritation and breakdown.
D: Requesting a prescription for the insertion of an indwelling urinary catheter is not the best first-line intervention for preventing skin breakdown. Catheters carry a risk of infection and should be used only when absolutely necessary.
Correct Answer is B
Explanation
A: Drinking cranberry juice each day can help prevent UTIs. Cranberry juice contains compounds that may prevent bacteria from adhering to the urinary tract walls, reducing the risk of infection.
B: Wiping the perineal area from back to front after urination is incorrect and increases the risk of introducing bacteria from the anal area to the urethra, leading to UTIs. The correct method is to wipe from front to back to minimize this risk.
C: Emptying the bladder regularly and completely is an important measure to prevent UTIs. It helps flush out bacteria from the urinary tract and reduces the risk of infection.
D: Drinking 8 cups of liquid each day is recommended to maintain adequate hydration and promote regular urination, which helps prevent UTIs by flushing out bacteria.
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