A nurse is preparing to administer an otic antibiotic to an adult client who has otitis media.
Which of the following actions should the nurse take?

Hold the dropper 1/2 inch (1 cm) above the ear canal during administration.

Place a cotton ball into the inner ear canal for 30 min following administration.

Straighten the ear canal by pulling the auricle down and back prior to administration.

Apply pressure to the nasolacrimal duct following administration.

Answer and Explanation

The Correct Answer is A

A.   Holding the dropper 1/2 inch (1 cm) above the ear canal during administration (option A) is indeed the correct action when administering otic medications. This distance helps to ensure that the medication is properly instilled into the ear canal without touching the dropper tip to the skin or ear canal, reducing the risk of contamination.
B.   Placing a cotton ball into the inner ear canal is not necessary following otic administration. It may cause unnecessary discomfort to the client.

C.   Straightening the ear canal by pulling the auricle down and back can make the medication trickle out of the ear. It should be held outward and upward.
D.   Applying pressure to the nasolacrimal duct is a technique used for ophthalmic medications, not otic medications.

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Correct Answer is A

Explanation

A. Obtaining apical and radial rates simultaneously allows the nurse to assess for a pulse deficit by comparing the two rates. A pulse deficit is present when the apical rate (heard with a
stethoscope) is greater than the radial rate (palpated at the wrist).

B. Palpating pulses in the lower extremities is not specific for assessing a pulse deficit and may not accurately reflect the cardiac output.

C. Checking blood pressure in left and right arms assesses for blood pressure differences but does not specifically address a pulse deficit.
D. Comparing the pulse strength in the upper extremities does not directly assess for a pulse deficit; simultaneous assessment of apical and radial rates is more appropriate.

A. "I am trying to understand why this had to happen to me." B. "I dread going to therapy, but I am getting comfortable with my prosthesis." C. "My leg looks a little red, but my doctor says it's healing well." D. "I may be ready to talk about my leg in a week or so."

Correct Answer is B

Explanation

A. Expressing a desire to understand why the amputation happened suggests the client is still grappling with acceptance.
B. Expressing discomfort with therapy but being comfortable with the prosthesis indicates an acknowledgment of the loss and adaptation to the situation.
C. Noting the leg's appearance and healing is an observation but does not necessarily indicate acceptance.
D. Indicating a readiness to talk about the leg in a week or so suggests the client is not currently ready to discuss or fully accept the loss.

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A nurse is preparing to administer an otic antibiotic to an adult client who has otitis media. Which of the following actions should the nurse take?

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A nurse is preparing to administer an otic antibiotic to an adult client who has otitis media.
Which of the following actions should the nurse take?