A nurse is preparing to administer an otic medication to an adult client. Which of the following actions should the nurse take first?
Ask the client to remain in a side-lying position with the affected ear down for several minutes after instillation.
Pull the client's pinna down and back prior to instillation.
Warm the medication to room temperature before administration.
Press a cotton ball into the client's ear canal after instillation.
The Correct Answer is C
A. Asking the client to remain in a side-lying position comes after administering the drops to facilitate medication retention, but it's not the first action.
B. Pulling the client's pinna down and back straightens the ear canal, but this technique is used for children < 3years. For adults the pinna should be pulled upwards and outwards.
C. Warming the medication may not be necessary to prevent dizziness.
D. Placing a cotton ball in the ear canal after instillation is not necessary for otic medication administration and should not be done routinely.
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Related Questions
Correct Answer is D
Explanation
A. Fowler's position is a semi-sitting position typically used for respiratory or cardiac conditions, not for rectal suppository administration.
B. Dorsal recumbent position is lying on the back with knees flexed, which is used for genital exams or urinary catheterization, not for rectal suppository administration.
C. Prone position is lying face down, which is not suitable for rectal suppository administration.
D. Sim's position, lying on the left side with the right knee flexed, facilitates rectal suppository insertion and retention.
Correct Answer is C
Explanation
A. Decreased temperature is a symptom of hypothyroidism, not hyperthyroidism which would indicate an overdose of levothyroxine.
B. Weight gain is more commonly associated with hypothyroidism, not hyperthyroidism caused by an overdose of levothyroxine.
C. Tachycardia (rapid heart rate) is a classic sign of hyperthyroidism, which can occur if the client's dose of levothyroxine is too high.
D. Bradypnea (slow breathing) is not typically associated with thyroid hormone overdosage.
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