A nurse is preparing to administer eardrops to a 2-year-old child. The nurse should pull the auricle in which of the following directions when instilling the medication?

Upward and backward

Upward and outward

Down and backward

Down and outward

Answer and Explanation

The Correct Answer is C

Rationales:
A. Pulling the auricle upward and backward is not recommended for administering eardrops to a child as it does not facilitate proper alignment of the ear canal.
B. Pulling the auricle upward and outward is appropriate when administering eardrops to clients >3years old helps straighten the ear canal, allowing for proper administration of the medication into the ear canal for effective treatment.
C. According to the American Academy of Pediatrics, for children under the age of 3, the correct method is to gently pull the outer flap of the affected ear downward and backward. This maneuver helps to straighten the ear canal, allowing the eardrops to flow down into the canal properly.
D. Pulling the auricle down and outward is not recommended for administering eardrops to a child as it does not facilitate proper alignment of the ear canal.

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Correct Answer is ["A","B","E"]

Explanation

A. A medical record can indeed be used as evidence in a court of law to support or refute claims related to patient care.
B. Documentation should be organized and timely to ensure accuracy and continuity of care.
C. Documentation should not include the nurse's interpretation but rather objective data and actions taken.
D. Data in a client's medical record should only be shared with those directly involved in the client's care unless otherwise authorized.
E. Information recorded in the client's medical record must be accurate and complete to support safe and effective client care and legal purposes.

A. Stimulates and thins secretions B. Suppresses the urge to cough C. Reduces inflammation D. Dries mucous membranes

Correct Answer is A

Explanation

A. Guaifenesin works as an expectorant by stimulating and thinning respiratory tract secretions, making it easier for the client to cough up and clear mucus from the airways.
B. Suppressing the urge to cough is the action of antitussive medications, not expectorants like guaifenesin.
C. Guaifenesin does not have significant anti-inflammatory properties; its primary action is on mucus clearance.
D. Drying mucous membranes is not the mechanism of action for guaifenesin; it focuses on facilitating mucus removal.

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A nurse is preparing to administer eardrops to a 2-year-old child. The nurse should pull the auricle in which of the following directions when instilling the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is reviewing legal guidelines for documentation with a newly licensed nurse. Which of the following should the charge nurse include in the teaching? (select all that apply)

Correct Answer is ["A","B","E"]

Explanation

A nurse is reinforcing teaching with a client who is going to take guaifenesin, an expectorant, to help manage a cough. The nurse should explain that this type of medication treats coughs by which of the following mechanisms?

Correct Answer is A

Explanation

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