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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Newborns do not expand their lungs fully with each respiration." While newborns have smaller lung capacity and immature respiratory mechanics, this does not directly explain why the respiratory rate must be counted for a full minute.
B. "Newborns are abdominal breathers." Abdominal breathing is common in newborns due to diaphragmatic dominance, but this characteristic does not necessitate counting respiratory rate for a full minute. It affects observation location more than timing.
C. "Activity will increase the respiratory rate." Activity level can cause fluctuations in respiratory rate, but the need to count for a full minute is primarily related to irregular rhythm, not just activity changes. Activity effects are an additional consideration but not the main reason.
D. "The rate and rhythm of breath are irregular in newborns." Newborns commonly have irregular breathing patterns, including variable rate and pauses (periodic breathing), which requires a full minute count to accurately assess their true respiratory rate and avoid misinterpretation.
Correct Answer is B
Explanation
A. Punishment and obedience: At this stage, moral reasoning is based on avoiding punishment. Individuals obey rules set by authority figures without questioning them, focusing on the physical consequences of actions rather than the morality behind them.
B. Social contract: In this stage, individuals recognize that rules and laws exist for the greater good but can be challenged if they infringe on individual rights. Moral reasoning includes evaluating laws in terms of justice, fairness, and the well-being of society, and advocating for change if necessary.
C. Good boy-nice girl: This stage is characterized by a desire to gain approval from others by being “nice” or doing what is expected in social relationships. Morality is centered around conformity and maintaining interpersonal relationships rather than questioning rules.
D. Law and order: Here, individuals follow laws and rules rigidly, believing that maintaining social order is paramount. There is a strong emphasis on duty and upholding established laws, without critically evaluating their fairness or impact on individual rights.
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