A 45-year-old patient has been prescribed a topical antibiotic for an ear infection. What is the correct way to administer this medication?
Tilt the head to the side, pull the earlobe up and back, and instill the drops into the ear canal.
Lay flat on your back, place the drops on a cotton ball, and insert the cotton ball into the ear canal.
Tilt the head to the side, pull the earlobe down and back, and instill the drops into the ear canal.
Tilt the head forward, pull the earlobe up and forward, and instill the drops into the ear canal.
The Correct Answer is A
Choice A Reason:
Tilting the head to the side and pulling the earlobe up and back is the recommended method for adults to straighten the ear canal, allowing the drops to flow directly into the ear canal and reach the site of infection effectively. This method ensures that the medication is properly administered and can work effectively to treat the infection.
Choice B Reason:
Laying flat on your back and placing the drops on a cotton ball before inserting it into the ear canal is not a recommended method for administering ear drops. This method can prevent the medication from reaching the ear canal properly and may not be as effective in treating the infection. Additionally, using a cotton ball can absorb the medication, reducing its effectiveness.
Choice C Reason:
Tilting the head to the side and pulling the earlobe down and back is the correct method for administering ear drops to children under three years old. For adults, this method is not recommended as it does not straighten the ear canal properly, which can prevent the medication from reaching the site of infection effectively.
Choice D Reason:
Tilting the head forward and pulling the earlobe up and forward is not a recommended method for administering ear drops. This method does not properly straighten the ear canal and can prevent the medication from reaching the site of infection. It is important to follow the correct technique to ensure the medication is effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Resuming the use of contact lenses 48 hours after retinal detachment surgery is not recommended. Postoperative care guidelines typically advise against wearing contact lenses until the eye has sufficiently healed to prevent irritation and infection. The exact duration will depend on the surgeon’s assessment and instructions.
Choice B Reason:
Driving 12 to 24 hours after the procedure is not advisable. Patients are usually instructed to avoid driving until their vision has stabilized and they have received clearance from their eye doctor. This period can vary but often extends beyond the first 24 hours post-surgery to ensure safety.
Choice C Reason:
Lying with the face up for 2 weeks following the procedure is incorrect. In many cases, patients are required to maintain a face-down position to help the retina reattach properly, especially if a gas bubble was used during surgery. The specific positioning instructions will depend on the type of surgery performed and the surgeon’s recommendations.
Choice D Reason:
Refraining from lifting objects that weigh over 15 lb is an appropriate instruction. Heavy lifting can increase intraocular pressure and strain the eye, potentially disrupting the healing process. Patients are generally advised to avoid strenuous activities and heavy lifting during the recovery period to ensure optimal healing.
Correct Answer is D
Explanation
Choice A Reason:
Warm and moist skin is not a typical manifestation of hypoglycemia. Instead, hypoglycemia often causes symptoms such as cold, clammy skin due to the body’s response to low blood sugar levels. Warm and moist skin can be associated with other conditions, such as hyperthyroidism or fever, but not hypoglycemia.
Choice B Reason:
A decreased appetite is not a common symptom of hypoglycemia. In fact, hypoglycemia can sometimes cause increased hunger as the body signals the need for more glucose. Symptoms of hypoglycemia are more related to the body’s immediate response to low blood sugar, such as shakiness, sweating, and confusion.
Choice C Reason:
Increased thirst is a symptom more commonly associated with hyperglycemia (high blood sugar) rather than hypoglycemia. When blood sugar levels are high, the body tries to eliminate excess glucose through urine, leading to dehydration and increased thirst. Hypoglycemia, on the other hand, does not typically cause increased thirst.
Choice D Reason:
Feeling shaky is a classic symptom of hypoglycemia. When blood sugar levels drop, the body releases adrenaline, which can cause shakiness, sweating, and a rapid heartbeat. Recognizing this symptom is crucial for individuals with diabetes to take immediate action to raise their blood sugar levels and prevent severe hypoglycemia.
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