A nurse is administering an otic medication to an older adult patient.
Which of the following actions should the nurse take to ensure the medication reaches the inner ear?

Gently press on the tragus of the patient’s ear.

Pack a small piece of cotton deep into the patient’s ear canal.

Move the patient’s auricle down and back towards their head.

Tilt the patient’s head backward for 5 minutes.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Pressing gently on the tragus of the ear after administering the medication can help the medication to reach the inner ear.

Choice B rationale

Packing a small piece of cotton deep into the patient’s ear canal is not recommended as it can cause damage to the ear.

Choice C rationale

Moving the patient’s auricle down and back towards their head is not necessary when administering otic medication.

Choice D rationale

Tilting the patient’s head backward for 5 minutes is not required when administering otic medication.

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Correct Answer is A

Explanation

Infiltration of an IV site is characterized by skin blanching, which is a whitening or lightening of the skin. This occurs when IV fluids or medications leak into the surrounding tissue from the vein. The area may also be cool to touch and swollen.

A. Regularly inspect the cord for frays or tears. B. Keep the unit at least 1.2 m (4 ft) away from a gas stove. C. Consider purchasing a generator for power backup. D. Monitor for signs of hypoxia. E. Choose synthetic clothing and bedding.

Correct Answer is ["A","B","C","D"]

Explanation

Choice A rationale

Regular inspection of the cord for frays or tears is crucial to ensure the safe operation of the home oxygen concentrator. A damaged cord can pose a risk of electric shock or fire.

Choice B rationale

Keeping the unit at least 1.2 m (4 ft) away from a gas stove is important because oxygen supports combustion. An oxygen-rich environment can cause materials to ignite more easily and make fires burn at a faster rate.

Choice C rationale

Considering the purchase of a generator for power backup is a good idea. In case of a power outage, a backup power source would ensure the continuous operation of the oxygen concentrator, which is critical for patients who are dependent on supplemental oxygen.

Choice D rationale

Monitoring for signs of hypoxia is essential. Despite receiving oxygen therapy, a patient may still experience hypoxia if the oxygen flow rate is insufficient, or if there are issues with the equipment. Signs of hypoxia include shortness of breath, rapid breathing, restlessness, confusion, and cyanosis (bluish color of the skin, lips, or nails)12.

Choice E rationale

Choosing synthetic clothing and bedding is not recommended. Synthetic materials can build up static electricity, which can spark and cause a fire in an oxygen-enriched environment.

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A nurse is administering an otic medication to an older adult patient.Which of the following actions should the nurse take to ensure the medication reaches the inner ear?

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A nurse is administering an otic medication to an older adult patient.
Which of the following actions should the nurse take to ensure the medication reaches the inner ear?