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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Assisting the client to a left side-lying position with the right knee flexed is a common position for administering an enema. However, this action alone would not address the client’s immediate need for relief from constipation.
Choice B rationale
Preparing the client for a chest x-ray would not be the most appropriate action based on the client’s symptoms. The client is experiencing abdominal pain and constipation, which are not typically associated with conditions that would require a chest x-ray.
Choice C rationale
Administering a cleansing enema is the correct action. The client has not had a bowel movement for the past 7 days and reports abdominal pain. These symptoms, along with the findings from the abdominal x-ray, suggest that the client is experiencing constipation. A
cleansing enema can help to relieve constipation by stimulating bowel movements and removing impacted fecal matter.
Choice D rationale
Auscultating the client’s bowel sounds is an important part of assessing the client’s gastrointestinal status. However, given the client’s symptoms and the results of the abdominal x-ray, administering a cleansing enema would be the most appropriate action.
Correct Answer is B
Explanation
Choice A rationale
When descending stairs, the crutches and the injured leg should go down first, followed by the good leg31415.
Choice B rationale
Placing crutches 12 inches in front and to the side of each foot is a correct method for using crutches. This provides stability and balance while walking31415.
Choice C rationale
When sitting down, it’s recommended to hold both crutches in one hand on the same side as the injured leg. This allows the other hand to be free to reach for the chair31415.
Choice D rationale
The shoulder rests, or pads, should not be snug against the body. There should be a space of about 1-2 inches between the top of the crutch and the armpit31415.
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