A nurse is teaching a client's partner how to administer an otic medication to the client. Which of the following statements by the client's partner indicates an understanding of the teaching?
"I will have my partner tilt their head back while I am instilling the drops."
"I will have my partner lie down on their back while I am instilling the drops.
"I will pull the pinna upward and outward prior to instilling the drops,
"I will make sure the solution is cool prior to instilling the drops
The Correct Answer is C
A. "I will have my partner tilt their head back while I am instilling the drops:"
Tilting the head back is not the recommended position for administering otic (ear) drops. This position can lead to the medication running out of the ear rather than staying in the ear canal.
B. "I will have my partner lie down on their back while I am instilling the drops:"
While lying down is a better position than tilting the head back, it is not as effective as the correct technique of pulling the pinna upward and outward. Lying down may still allow the drops to flow out of the ear.
C. "I will pull the pinna upward and outward prior to instilling the drops:"
This is the correct answer. The proper technique for administering otic drops involves pulling the pinna (outer ear) upward and outward. This straightens the ear canal, facilitating the correct placement of the medication.
D. "I will make sure the solution is cool prior to instilling the drops:"
The temperature of the solution is not typically a specific consideration for ear drops unless otherwise specified by the healthcare provider. Room temperature drops are generally acceptable.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Limit your sodium intake: While excessive sodium intake may be a concern for individuals with certain health conditions, there is no specific restriction on sodium intake associated with theophylline use. This instruction is not directly relevant to theophylline therapy.
B. Avoid caffeinated beverages (Correct Answer): Caffeine can increase the risk of theophylline toxicity by enhancing its effects. Theophylline is metabolized in the liver, and caffeine can interfere with this process. Therefore, it is advisable for individuals taking theophylline to avoid excessive consumption of caffeinated beverages.
C. Take the medication with meals: Theophylline is often prescribed on an empty stomach because food can decrease its absorption. However, the specific recommendation may vary based on the formulation of the medication. It is important to follow the healthcare provider's instructions regarding when to take theophylline in relation to meals.
D. Restrict milk products: There is no general restriction on milk products associated with theophylline use. However, it's important to note that high-fat meals may affect the absorption of theophylline, so individualized instructions from the healthcare provider should be followed.
Correct Answer is C
Explanation
A. The client's absolute neutrophil count was 2.500/mm before the medication was administered:
This information does not indicate an error in the administration process. The absolute neutrophil count being 2.500/mm before the medication was given is relevant to the client's condition but does not suggest an incident related to the administration of filgrastim.
B. The nurse flushed the client's IV line with dextrose 5% in water before and after the medication was administered:
Flushing the IV line with dextrose 5% in water is a standard practice before and after medication administration. This action helps ensure that the medication is effectively delivered and that the line remains patent. There is no indication of an error in this case.
C. The medication vial sat at room temperature for 2 hr before it was administered:
Filgrastim is a medication that typically requires refrigeration to maintain stability. Allowing it to sit at room temperature for an extended period can affect its efficacy and safety. This is a deviation from the recommended storage conditions and should be reported as an incident to assess potential consequences.
D. The client had chemotherapy 12 hr before the medication was administered:
This information does not necessarily suggest an incident related to the administration of filgrastim. The timing of chemotherapy is an essential consideration in cancer treatment protocols. Filgrastim is often administered to support recovery from the hematopoietic effects of chemotherapy.
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