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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.

Answer and Explanation

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.

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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.

A. "If I crush it, you might experience a stomach ache or indigestion.” B. "I will crush it and mix it in some ice cream for you.”. C. "That would release all the medication at once, rather than over time.”. D. "Stomach acid will inactivate some of the medication if I crush the medication.”.

Correct Answer is A

Explanation

Enteric-coated aspirin is designed to dissolve in the intestines rather than the stomach to reduce gastrointestinal irritation. Crushing the medication would destroy the coating, causing the aspirin to be released in the stomach, which could lead to side effects like stomach ache or indigestion.

A. "If I crush it, you might experience a stomach ache or indigestion.”: This is accurate, as crushing the enteric coating would expose the stomach to aspirin, increasing the risk of irritation or ulceration.
B. "I will crush it and mix it in some ice cream for you.”: This is incorrect, as crushing enteric-coated aspirin is not recommended due to the loss of the protective coating.
C. "That would release all the medication at once, rather than over time.”: This is incorrect, as enteric-coated aspirin is not a time-release formulation; the coating is for stomach protection, not controlled release.
D. "Stomach acid will inactivate some of the medication if I crush the medication.”: This is incorrect, as stomach acid does not significantly inactivate aspirin, but rather the concern is increased gastric irritation.

The best response is A, as it correctly explains the risk of crushing the enteric-coated aspirin.

Final Answer: A. "If I crush it, you might experience a stomach ache or indigestion.”

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The nurse is preparing to administer ear drops to an adult client. Which of the following actions should the nurse plan to take?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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The nurse is preparing to administer ear drops to an adult client.
Which of the following actions should the nurse plan to take?.