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 ["A","B"]
Explanation
Choice A rationale
When a patient is placed on isolation precautions, the nurse should wear an N95 mask when caring for the patient. This is to protect the nurse from airborne particles that may be present in the patient’s environment.
Choice B rationale
Another important action the nurse should take is to place a container for soiled linens inside the patient’s room. This is to prevent the spread of infection from the patient’s room to other areas of the healthcare facility.
Choice C rationale
Wearing a sterile, water-resistant gown if within 3 feet of the patient is not necessary unless the patient has a condition that requires contact precautions, such as MRSA or VRE. In general, isolation precautions do not require the use of a sterile gown unless performing a sterile procedure.
Choice D rationale
Ensuring the patient’s room is well-ventilated is important for certain types of isolation precautions, such as airborne precautions for tuberculosis. However, it is not a standard action for all isolation precautions.
Correct Answer is C,A,D,B
Explanation
Choice A rationale
Injecting 5 units of air into the bottle of regular insulin is the second step in the procedure. This is done after injecting air into the NPH insulin bottle. The purpose of this step is to pressurize the vial, making it easier to withdraw the insulin.
Choice B rationale
Withdrawing the correct dose of NPH insulin from the bottle is the last step in the procedure. This is done after withdrawing the regular insulin to prevent contamination of the regular insulin with the NPH insulin.
Choice C rationale
Injecting 10 units of air into the bottle of NPH insulin is the first step in the procedure. This is done before injecting air into the regular insulin bottle. The purpose of this step is to pressurize the vial, making it easier to withdraw the insulin.
Choice D rationale
Withdrawing the correct dose of regular insulin from the bottle is the third step in the procedure. This is done after injecting air into the regular insulin bottle and before withdrawing the NPH insulin. The purpose of this step is to ensure that the correct dose of regular insulin is administered.
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