A nurse is teaching the parents of an infant how to administer antibiotic eardrops. Which of the following instructions should the nurse include in the teaching?
Chill the medication prior to administration.
Pull the pinna up and back during medication administration.
Hyperextend the infant's neck during medication administration.
Massage the anterior area of the ear following administration.
The Correct Answer is D
A. "Chill the medication prior to administration." The medication should be warmed to room temperature to prevent discomfort or dizziness during administration.
B. "Pull the pinna up and back during medication administration." For infants, the pinna should be pulled down and back to straighten the ear canal.
C. "Hyperextend the infant's neck during medication administration." Hyperextending the neck is unnecessary and may cause discomfort; a neutral position is sufficient.
D. "Massage the anterior area of the ear following administration." Massaging the tragus helps ensure the medication is evenly distributed into the ear canal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Maintain aseptic technique during the child's dressing changes." Aseptic technique reduces the risk of infection, which is critical for children with burns as their immune response may be compromised.
B. "Provide low-calorie snacks for the child several times each day." Children with burns require a high-calorie, high-protein diet to promote healing and compensate for increased metabolic demands.
C. "Apply continuous passive motion devices to the child's lower extremities during periods of rest." Passive motion devices are not typically indicated for burn injuries unless there is joint involvement requiring physical therapy for mobility restoration.
D. "Administer pain medication to the child 30 min following physical therapy." Pain medication should be administered before physical therapy to improve tolerance and participation.
Correct Answer is ["B","C","D","E"]
Explanation
A. Bruises easily. Easy bruising is more commonly associated with hematologic conditions, not brain tumors.
B. Clumsiness. Clumsiness or difficulty with coordination may indicate motor function impairment caused by a brain tumor.
C. Irritability. Irritability can result from increased intracranial pressure (ICP) or other neurological changes due to a brain tumor.
D. Persistent headaches. Persistent headaches, especially those worse in the morning, are a common sign of increased ICP from a brain tumor.
E. Vomiting. Vomiting, particularly without nausea, can occur due to increased ICP.
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