A nurse is educating the parent of an 18-month-old toddler how to administer otic drops. Which of the following parent statements indicates an understanding of the teaching?
"I should pull the pinna down and back."
"I should insert the dropper into the ear canal."
"I should administer the ear drops right out of the refrigerator."
"I should massage the area behind the ear."
The Correct Answer is A
A. "I should pull the pinna down and back."
For children younger than 3 years, pulling the pinna down and back straightens the ear canal for proper drop administration.
B. "I should insert the dropper into the ear canal."
The dropper should never be inserted into the canal to prevent injury or contamination.
C. "I should administer the ear drops right out of the refrigerator."
Cold ear drops can cause dizziness. Warm the bottle in the hand before use.
D. "I should massage the area behind the ear."
The correct technique involves massaging the tragus (front of the ear canal), not behind the ear.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Preschoolers believe their illness is punishment for their misbehavior.
This is developmentally appropriate thinking in preschoolers (ages 3–6), who may view illness or death as a consequence of wrongdoing.
B. Preschoolers are interested in what happens to the body after death.
This type of abstract thinking is more typical of school-age children, not preschoolers.
C. Adolescents worry more about death than the physical changes that can occur as a result of the illness.
Adolescents are often more concerned with body image, independence, and peer acceptance than the concept of death itself.
D. Toddlers personify death as being a type of monster.
Toddlers do not fully understand the concept of death and typically do not personify it.
Correct Answer is A
Explanation
A. Report of diplopia:
Diplopia (double vision) is a sign of increased intracranial pressure affecting cranial nerves.
B. Hyperactivity:
Hyperactivity is not a sign of increased ICP; instead, decreased consciousness or irritability may be noted.
C. Nuchal rigidity:
Nuchal rigidity is more associated with meningitis, not necessarily with increased ICP from trauma.
D. Tachycardia:
Bradycardia, not tachycardia, is associated with increased ICP (part of Cushing's triad: bradycardia, hypertension, irregular respirations).
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