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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
A. 50 mg is incorrect because the dose is specified in micrograms (mcg), not milligrams (mg).
B. 0.5 mg is incorrect; the correct conversion from micrograms (mcg) to milligrams (mg) is 0.05 mg.
C. 0.05 mg is correct as it accurately converts 50 mcg of levothyroxine to milligrams.
D. 500 mg is incorrect; it represents a much higher dose than the prescribed 50 mcg of levothyroxine.
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