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 B
Explanation
Instilling the ophthalmic medication directly on the client's cornea is incorrect and could cause discomfort or injury.
B. Applying gentle pressure to the client's nasolacrimal duct after instillation helps to reduce systemic absorption of the medication and minimize side effects.
C. Cleaning the client's eye from the outer canthus to the inner canthus is unnecessary and not a recommended procedure before instillation.
D. Asking the client to tightly squeeze their eyes shut after instillation may not affect the absorption of the medication and is not necessary.
Correct Answer is ["A","B","C"]
Explanation
A. Flushing with water before administering medications helps ensure the tube is clear and free from residual medications.
B. Flushing after each medication ensures the medication is delivered completely into the stomach and minimizes drug interactions.
C. Flushing after giving multiple medications helps clear the tube and prevents potential interactions between different medications.
D. Flushing before aspirating gastric contents helps ensure accurate assessment and prevents contamination of samples.
E. Flushing after administering a sublingual medication is not necessary for a gastrostomy tube, as it is specific to oral medication administration.
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