A nurse is preparing to instill ear drops to a 3-year-old child. Which of the following techniques should the nurse use?

Pull the auricle down and back,

Pull the auricle up and out.

Pull the auricle down and out.

Pull the auricle up and back.

Answer and Explanation

The Correct Answer is A

Pediatric clients have a straighter and shorter ear canal as compared to adults. Pulling the auricle down and back helps straighten the ear canal, allowing easier administration of the eardrops and ensuring that they reach the tympanic membrane. This technique is preferred to avoid injury to the ear canal and tympanic membrane
B.   Pulling the auricle down and out inhibits visualization of the canal
C.   Pulling the auricle down and back obstructs the ear canal and hinder the proper administration of eardrops.
D.   Pulling the auricle up and out is used in adults

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Correct Answer is C

Explanation

Warfarin is a coumarin anticoagulant that has potential to increase the risk of bleeding. When taken during pregnancy, warfarin causes fetal bleeding. Warfarin is also teratogenic and it causes various birth defects including skeletal abnormalities, hypoplastic nose, intellectual disabilities and deafness hence it's contraindicated. Pregnant women who require anticoagulation are put of heparin in the place of warfarin to prevent these complications.
A. B, D - are not contraindications for warfarin use.

A. Clamp the catheter. B. Position the client in left lateral Trendelenburg. C. Auscultate breath sounds. D. Initiate oxygen therapy.

Correct Answer is A

Explanation

Acute shortness of breath in a client with a central venous catheter could be secondary to various respiratory complications such as pulmonary embolism and pneumothorax. Taking the appropriate action requires a quick assessment through auscultation as the emergency management of the various complications is different.
A. This is the immediate action to prevent more air from entering the venous system.
B. The left lateral trendelenburg position is relevant in hypotension but not a priority action.

C.uscultating breath sounds is an important assessment, especially if the cause of the shortness of breath is unclear. It can help identify wheezing, crackles, or absence of breath sounds, which may suggest conditions like pneumothorax, pulmonary embolism, or infection. However, while auscultation is an important diagnostic step, it is typically done after initial interventions (such as positioning or administering oxygen) to stabilize the client.
D. Initiating oxygen therapy is important in cases of respiratory distress but assessment is priority in this case

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A nurse is preparing to instill ear drops to a 3-year-old child. Which of the following techniques should the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is A

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