A nurse is preparing to administer dexamethasone otic drops to an adult client who has an ear infection. Which of the following actions should the nurse take?
Chill the medication prior to administration.
Hold the dropper against the ear canal while instilling the medication.
Straighten the external auditory canal by pulling it down and back.
Apply gentle pressure with a finger to the tragus of the ear.
The Correct Answer is D
A. Chilling the medication is not necessary for otic drops and could cause discomfort to the client.
B. Holding the dropper against the ear canal is not recommended as it may cause injury to the ear canal.
C. The external auditory canal should be straightened by pulling the ear upward and backward for an adult, which facilitates the drops to flow down into the ear canal.
D. Gentle pressure applied to the tragus of the ear can help in distributing the medication evenly within the ear canal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Using lotion on irritated skin before applying a new patch may interfere with adhesion and absorption of the medication, indicating a misunderstanding of proper patch application.
B. Cleaning and drying the area before applying a transdermal patch ensures proper adhesion and absorption of medication, demonstrating correct understanding of patch application technique.
C. Pressing the patch securely in place is important, but it does not address the initial preparation of the skin, which is crucial for effective medication delivery.
D. Applying a new patch in the same location without cleaning the area may lead to skin irritation or uneven absorption of medication, indicating improper understanding of patch application.
Correct Answer is A
Explanation
A. Return demonstration involves the client demonstrating the skill back to the nurse after instruction, ensuring understanding and competence.
B. Discussion involves exchanging information verbally but does not involve demonstration of skill.
C. Question and answer involves the nurse answering client questions but does not include a practical demonstration.
D. Role play involves acting out scenarios but may not directly involve the client performing the actual procedure.
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