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.

Answer and Explanation

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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Correct Answer is A

Explanation

A. Vital signs should be documented in the Objective section of the SOAP note because they are measurable, observable data.
B. The Plan section outlines the actions and treatments planned based on the assessment data.
C. The Action section details the specific interventions carried out during the client's care.
D. The Subjective section includes the client's perceptions, feelings, and statements about their health.

A. At the time of documentation B. In the area where the nurse obtained the medication C. In the nurses' station while reviewing the provider's prescription D. At the client's bedside before administration

Correct Answer is D

Explanation

A. Performing the final medication check at the time of documentation may result in errors if there are discrepancies between the prescription and what is documented.
B. Checking the medication in the area where it was obtained may not ensure accuracy regarding patient identity, dose, or route before administration.
C. Reviewing the provider's prescription at the nurses' station is important but should not replace the final bedside check immediately before administration.
D. Performing the final medication check at the client's bedside ensures accuracy and patient safety by verifying the correct medication, dose, route, and patient identity directly before administration.

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A nurse is preparing to administer an otic medication to an adult client. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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