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 B
Explanation
A: Completing proper documentation of the medication error is important but should not be the first action. Immediate assessment of the patient is more critical.
B: Returning to the room to check and assess the patient is the first priority. The nurse needs to determine if the patient has experienced any adverse effects from the medication error and provide appropriate care.
C: Administering the antidote to the patient immediately is only necessary if the medication given has a known antidote and the patient is showing signs of adverse effects. Assessment should come first.
D: Alerting the charge nurse that a medication error has occurred is important for reporting and follow-up but should follow the immediate assessment and care of the patient.
Correct Answer is B
Explanation
A: Neostigmine is used to treat myasthenia gravis and to reverse the effects of muscle relaxants after surgery. It is not an antidote for morphine overdose.
B: Naloxone is the correct medication to have available. It is an opioid antagonist used to reverse the effects of opioid overdose, including respiratory depression caused by morphine.
C: Protamine is used to reverse the effects of heparin, an anticoagulant. It is not related to opioid overdose treatment.
D: Flumazenil is used to reverse the effects of benzodiazepines. It is not effective for reversing opioid overdose.
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