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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Euphoria, drowsiness, and dizziness are not common side effects of fluticasone.
B. Nasal congestion may occur with fluticasone use, but bleeding gums and black tarry stools are not typical side effects.
C. Fever, weight gain, and tachycardia are not commonly associated with fluticasone use.
D. Sore throat, headache, burning in the nose, and nosebleeds are potential side effects of intranasal fluticasone and should be monitored and reported if they occur.

A. DPIs require coordination of breath and inhaler activation. B. ODPIS use propellant gases to deliver the medication. C. DPIS are suitable for use in young children and infants. D. ODPIs are only used for long-term control of respiratory conditions.

Correct Answer is A

Explanation

A. DPIs require the patient to inhale quickly and deeply to effectively deliver the medication, requiring coordination of breath and inhaler activation.
B. ODPIs (often referring to pressurized metered-dose inhalers) use propellant gases, not DPIs.
C. DPIs may not be suitable for young children and infants who may have difficulty generating enough inspiratory flow to use them effectively.
D. ODPIs (if referring to other types) are not exclusively used for long-term control; their use depends on the specific medication formulation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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