Before the nurse administers a liquid medication to an 83-year-old male client, the nurse should:

ask the client if he would prefer to give the medication to himself.

assess the swallowing reflex by offering a sip of water.

mix thoroughly in applesauce or pudding.

assess the ability to understand information relative to the medication.

Answer and Explanation

The Correct Answer is B

A) Ask the client if he would prefer to give the medication to himself: While involving the client in their care is important, this option does not assess the client’s ability to safely take the medication. The nurse should first ensure that the client can swallow the medication safely.

B) Assess the swallowing reflex by offering a sip of water: This is the correct action. Assessing the swallowing reflex is essential, especially in older adults, to determine if they can safely swallow liquid medications without risk of aspiration.

C) Mix thoroughly in applesauce or pudding: This option is not appropriate unless specifically ordered or indicated. Mixing medications in food may not be suitable for all clients, and it can affect the medication's absorption or effectiveness. Additionally, it does not assess the client's swallowing ability.

D) Assess the ability to understand information relative to the medication: While this is important, it is secondary to ensuring that the client can physically take the medication safely. Assessing understanding can occur after confirming the client’s ability to swallow the medication.

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Correct Answer is A

Explanation

A) Have the client sit up straight: This is the correct action. Sitting up straight helps ensure that the medication can be properly delivered to the nasal passages and increases the likelihood of effective absorption.

B) Leave the other nostril open while giving the medication: While it is often recommended to keep the opposite nostril open to allow for airflow, the medication should be delivered to one nostril at a time. The other nostril should typically be closed or pinched shut to direct the medication effectively.

C) Have the client tilt the head forward: This option is incorrect. Tilting the head forward can make it more difficult for the medication to reach the upper nasal passages. The client should usually keep their head in a neutral position or slightly tilted back.

D) Have the client squeeze the bottle while inhaling: This action is not ideal. The client should inhale gently while the nurse squeezes the atomizer to ensure that the medication is effectively distributed throughout the nasal passages. Squeezing the bottle should be coordinated with inhalation to achieve the best results.

A. Upward and back. B. Upward and outward. C. Downward and back. D. Downward and inward.

Correct Answer is C

Explanation

A) Upward and back: This direction is appropriate for adults and older children but not for infants. The anatomy of an infant's ear canal requires a different approach for effective eardrop administration.

B) Upward and outward: This option is also incorrect for infants. Similar to option A, this technique does not effectively account for the anatomical differences in an infant's ear canal.
C) Downward and back: This is the correct action when administering eardrops to an infant. Pulling the auricle downward and back straightens the ear canal, allowing for better access to deeper structures and ensuring that the drops reach the intended area.

D) Downward and inward: This direction is not appropriate for straightening the ear canal. The correct technique is to pull downward and back to achieve the desired angle for effective administration of eardrops in infants.

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Before the nurse administers a liquid medication to an 83-year-old male client, the nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse administering a nasal medication via an atomizer bottle should:

Correct Answer is A

Explanation

The ear canal should be straightened when instilling eardrops to provide direct access to deeper ear structures. In what direction should the auricle be pulled in an infant to straighten the ear canal?

Correct Answer is C

Explanation

A client has been prescribed eye drops for the treatment of glaucoma. The nurse is observing the client self-administer the eye drops. Which action by the client requires further teaching?

When applying ophthalmic ointments, the nurse should: (Select all that apply.)

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Before the nurse administers a liquid medication to an 83-year-old male client, the nurse should:

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