A nurse is caring for an infant who needs otic medication. Which of the following is an appropriate action for the nurse to take?
Ensure that the medication is at room temperature.
Hyperextend the infant's neck.
Pull the pinna downward and straight back.
Hold the infant in an upright position.
The Correct Answer is C
Choice A reason: Medication should not be cool as it can cause discomfort or even reflexive actions like vomiting or vertigo. It should be at room temperature⁷.
Choice B reason: Hyperextending the infant's neck is not necessary and could be uncomfortable or unsafe. The position should be natural and comfortable⁷.
Choice C reason: Pulling the pinna downward and straight back is the correct method for infants to straighten the ear canal for proper administration of otic medication⁷.
Choice D reason: Holding the infant in an upright position is not ideal for otic medication administration. The infant should be lying down or sitting with the affected ear facing up⁷.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is a. "Children play alongside each other but do not interact."
Choice A reason: Parallel play is characterized by children playing next to each other without engaging in direct interaction or cooperative play, which is typical behavior at certain developmental stages.
Choice B reason: Organized play involves interaction and cooperation, which is not characteristic of parallel play.
Choice C reason: While children may play independently in a group, this statement does not capture the essence of parallel play, which involves proximity without interaction.
Choice D reason: Observing others play is more indicative of onlooker behavior rather than parallel play.
Correct Answer is C
Explanation
Choice A reason: A platelet count of 200,000/mm is within the normal range and does not need to be reported.
Choice B reason: A hematocrit of 40% is also within the normal range for a preschooler and does not require reporting.
Choice C reason: A blood protein level of 5.0 g/dL is low and indicative of nephrotic syndrome, which can lead to serious complications if not addressed.
Choice D reason: A hemoglobin level of 14.5 g/dL is within the normal range and does not need to be reported.
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