A nurse is reinforcing teaching about the administration of an otic medication with the parent of a 2-year-old toddler. Which of the following instructions should the nurse include?
"You should place your child in a side-lying position on the affected side after you administer the medication."
"You should allow your child's medication to reach room temperature prior to administration."
"You should sit your child in an upright position to administer the medication."
"You should gently pull your child's ear upward.".
The Correct Answer is C
Choice A rationale:
Placing a toddler in a side-lying position on the affected side after administering otic medication is not recommended. This position can cause the medication to leak out, reducing its effectiveness, and can also increase the risk of infection. It's important to keep the medication in the ear canal for an adequate amount of time to allow it to work properly.
Choice B rationale:
Allowing the medication to reach room temperature prior to administration is not a critical step for otic medications. While warming certain medications can reduce discomfort, this is not a specific requirement for ear drops. Ensuring the cleanliness of the ear, proper positioning, and correct administration technique are more important.
Choice C rationale:
The correct choice. Sitting the child in an upright position is the recommended approach for administering otic medication. This position helps ensure that the medication remains in the ear canal and is not immediately expelled. It also facilitates better penetration of the medication into the ear canal, increasing its effectiveness.
Choice D rationale:
Gently pulling a child's ear upward is a technique used for administering otic medications to straighten the ear canal and allow better access to the medication. However, this step alone is not sufficient. Proper positioning of the child is equally important to prevent the medication from leaking out.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Correct Choice. Current pregnancy is a contraindication to administering the measles, mumps, and rubella (MMR) vaccine. The MMR vaccine contains live attenuated viruses, and it is generally contraindicated during pregnancy due to the potential risk to the developing fetus. Pregnant individuals should wait until after giving birth to receive the MMR vaccine.
Choice B rationale:
Mild ear infection is not a contraindication to administering the MMR vaccine. Mild illnesses, such as mild upper respiratory infections or low-grade fevers, are not typically considered contraindications for vaccination. In fact, immunization might be recommended in these cases to ensure protection against preventable diseases.
Choice C rationale:
A family history of seizures is not a contraindication to administering the MMR vaccine. Seizures are not known to be associated with the MMR vaccine. Therefore, a family history of seizures would not preclude an individual from receiving the vaccine.
Choice D rationale:
Severe peanut allergy is not a contraindication to administering the MMR vaccine. Allergies, including severe peanut allergies, are not considered contraindications for the MMR vaccine. Only individuals with a known severe anaphylactic allergy to a vaccine component (such as gelatin or neomycin) would have a contraindication to receiving the vaccine.
Correct Answer is A
Explanation
Choice A rationale:
This statement reflects an accurate understanding of varicella (chickenpox) transmission and infection control. The lesions of varicella contain the virus and are contagious until they have crusted over. Allowing the child to go to the playroom only after the lesions have crusted helps prevent the spread of the virus to other individuals.
Choice B rationale:
This statement is incorrect because waiting for the crusts to fall off the lesions before bathing the child is not necessary. In fact, keeping the lesions clean and maintaining proper hygiene through gentle bathing can help prevent secondary bacterial infections.
Choice C rationale:
This statement is incorrect because bedrest for 3 days is not necessary for a child with varicella. While it's important to minimize contact with others during the contagious phase, physical activity can be gradually resumed as long as the lesions have crusted to prevent transmission.
Choice D rationale:
This statement is incorrect. Once a person has had chickenpox (varicella), they develop immunity to the virus and do not need to wear a mask when visiting someone with active varicella. This is because they are already immune to the virus due to their prior infection.
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