The nurse is preparing to administer ear drops to an adult client.
Which of the following actions should the nurse plan to take?.
Avoid applying pressure to the tragus of the ear
Pull the pinna upward and backward.
Don sterile gloves to instill the medication.
Chill the otic solution prior to administration.
The Correct Answer is B
Choice A rationale:
Applying pressure to the tragus of the ear can help move the liquid in deeper. Therefore, this statement is incorrect.
Choice B rationale:
For adults, the pinna should be pulled upward and backward to straighten the ear canal. Therefore, this statement is correct.
Choice C rationale:
Sterile gloves are not necessary when administering ear drops. Therefore, this statement is incorrect.
Choice D rationale:
Ear drops should be at room temperature. If they’re too cold or hot, they can make you feel dizzy and disoriented. Therefore, this statement is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Pulling the auricle upward and outward is the correct method for adults and children over 3 years old.
Choice B rationale:
Pulling the auricle down and outward is not the correct method for any age group.
Choice C rationale:
Pulling the auricle down and backward is the correct method for children under 3 years old.
Choice D rationale:
Pulling the auricle upward and backward is not the correct method for children under 3 years old.
Correct Answer is C
Explanation
Choice A rationale:
The list obtained from the client should include all medications the client is taking, regardless of who prescribed them.
Choice B rationale:
The reconciliation process should be completed at each transition of care, not just at admission.
Choice C rationale:
Providing a comprehensive list of medications at discharge is a key component of medication reconciliation.
Choice D rationale:
Nurses should not write verbal orders for medications. This is the responsibility of the provider.
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