A nurse administers ear drops to a toddler and pulls the auricle down and back. The mother asks, "Why are you pulling the ear that way?" Which of the following explanations should the nurse provide?
"This is the safest and easiest way to administer this medication."
"When this technique is used, the toddler experiences less pain."
"This technique opens the ear canal, allowing medication to reach the inner ear region."
"When this technique is used, the medication will not run out of the ear."
The Correct Answer is C
A. "This is the safest and easiest way to administer this medication." While safety and ease are important, the primary reason for pulling the auricle down and back in toddlers is to properly align the ear canal for medication delivery, not just convenience or safety.
B. "When this technique is used, the toddler experiences less pain." Although proper technique can reduce discomfort, the main goal is to straighten the ear canal for better medication flow rather than directly reducing pain.
C. "This technique opens the ear canal, allowing medication to reach the inner ear region." Pulling the auricle down and back straightens the ear canal in toddlers and young children, which facilitates the medication’s access to the tympanic membrane and middle ear area, improving effectiveness.
D. "When this technique is used, the medication will not run out of the ear." Medication retention depends on administration and positioning after drops, but pulling the auricle down and back primarily helps open the canal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["5.3"]
Explanation
Convert the child's weight from pounds (lb) to kilograms (kg).
Weight in kg = 28 lb / 2.2 lb/kg
= 12.727 kg
Calculate the total desired dose in milligrams (mg).
Desired dose (mg) = Desired dose (mg/kg/dose) × Weight (kg)
= 10 mg/kg/dose × 12.727 kg
= 127.27 mg
Available concentration of the acetaminophen oral solution
= 120 mg / 5 mL.
Calculate the volume in milliliters (mL) to administer.
Volume (mL) = Desired dose (mg) / (Available concentration (mg) / Available volume (mL))
= 127.27 mg / (120 mg / 5 mL)
= 127.27 mg × (5 mL / 120 mg)
= (127.27 × 5) / 120 mL
= 636.35 / 120 mL
= 5.302 mL
Round the answer to the nearest tenth.
= 5.3 mL.
Correct Answer is D
Explanation
A. Erikson's stage of initiative versus guilt: This stage typically occurs during the preschool years (ages 3 to 6), when children begin initiating activities and asserting control through social interactions and play.
B. Demonstrations of sexual curiosity: Although some curiosity may occur, pronounced sexual curiosity is more typical during the preschool years, not the toddler stage, and it is not a hallmark of toddler psychosocial development.
C. Imaginary playmates: Imaginary friends commonly appear in preschool-aged children (around 3 to 6 years of age) and are part of normal imaginative development, not characteristic of toddlers.
D. Negative behaviors characterized by the need for autonomy: Toddlers are in Erikson’s stage of autonomy vs. shame and doubt. They frequently exhibit negativism (e.g., saying "no") as a means of asserting independence and developing a sense of autonomy.
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