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An adult client is to receive ear drops tid to treat an external ear infection. What is the correct nursing procedure to follow when administering this type of medication?

Heat the drops in the microwave for 10 seconds to warm the solution

Pull the auricle up and back before instilling the drops

Pull the auricle down and back before instilling the drops

Have client pull down on earlobe for 5 minutes after instillation

Answer and Explanation

The Correct Answer is B

A. Heating ear drops in the microwave can lead to burns and should not be done.

B. For adults, the auricle should be pulled up and back to straighten the ear canal.

C. For adults, the auricle should be pulled up and back to straighten the ear canal.

D. Having the client pull down on the earlobe after instillation is not necessary and may not be appropriate.

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Correct Answer is D

Explanation

A. A DTI is not a partial thickness injury; it involves damage to deeper tissues.

B. Dressing changes for a DTI depend on the specific wound characteristics and treatment plan.

C. DTIs are not usually caused by overhydration; they are caused by sustained pressure or shearing forces.

D. A DTI may occur when one layer of tissue slides over another layer of tissue, leading to damage beneath the skin surface.

A. Pt has a history of smoking B. Tachypnea & dyspnea present. C. Patient has orthopnea D. Diaphragmatic breathing in progress E. Cheyne-Stokes respirations present

Correct Answer is ["B","C"]

Explanation

A. While a history of smoking may be relevant to the client's respiratory status, it is not directly observed in the current scenario.

B. Tachypnea (rapid breathing) and dyspnea (shortness of breath) are appropriate to document given the client's respiratory rate and complaint.

C. Orthopnea, the difficulty in breathing when lying flat, is evident from the client's statement.

D. Diaphragmatic breathing refers to a specific breathing technique and is not observed in the scenario.

E. Cheyne-Stokes respirations, a pattern of breathing characterized by alternating periods of deep and shallow breathing, are not described in the scenario.

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An adult client is to receive ear drops tid to treat an external ear infection. What is the correct nursing procedure to follow when administering this type of medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a patient who has a DTI (deep tissue injury) to the hospital. The nurse understands that a DTI:

Correct Answer is D

Explanation

Correct Answer is ["B","C"]

Explanation

In providing care for clients, the nurse knows that the normal stimulus to breathe is a/an:

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