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

Chill the otic solution prior to administration.

Pull the pinna upward and backward.

Avoid applying pressure to the tragus of the ear.

Don sterile gloves to instill the medication.

Answer and Explanation

The Correct Answer is B

A) Chill the otic solution prior to administration:
Chilling ear drops is not typically necessary or recommended. Cold solutions can cause discomfort or dizziness when instilled into the ear. Room temperature or slightly warmed ear drops are generally more comfortable for the client.

B) Pull the pinna upward and backward:
This is the correct action for administering ear drops to an adult client. Pulling the pinna (outer ear) upward and backward helps straighten the ear canal, allowing the drops to enter the ear canal properly.

C) Avoid applying pressure to the tragus of the ear:
The tragus is the small cartilaginous flap in front of the ear canal. Applying pressure to the tragus can help facilitate the flow of medication into the ear canal rather than avoiding it. Gently pressing on the tragus after instilling the drops can aid in distributing the medication.

D) Don sterile gloves to instill the medication:
Sterile gloves are not typically required for administering ear drops unless the nurse is dealing with a client with a compromised immune system or open ear canal. Standard precautions (clean hands) are usually sufficient for administering ear drops.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A) Notify the nurse manager:
While it's important to communicate the error to the nurse manager and appropriate supervisors, the immediate priority is to address the client's current condition and ensure their safety.

B) Complete an incident report:
Filling out an incident report is necessary to document the error and ensure proper follow-up and investigation. However, the client's immediate well-being takes precedence.

C) Give the client 15 to 20 g of carbohydrate:
Administering carbohydrates may be necessary if the client is hypoglycemic, but checking the blood glucose level first is essential to confirm the current status and determine the appropriate intervention.

D) Check the client's blood glucose level:
This is the priority action because it allows the nurse to assess the client's current blood glucose level and determine if corrective action, such as administering carbohydrates or further insulin adjustments, is needed to address any potential hypoglycemia resulting from the incorrect insulin dose.

A. "I will take this medication with meals." B. "I have made an appointment to see my dentist next week." C. "I will be glad when my seizures stop so I can quit taking this medicine." D. "I will notify my provider before taking any other medications

Correct Answer is C

Explanation

A) "I will take this medication with meals":
Taking phenytoin with meals or food can help reduce gastrointestinal upset and improve absorption. This statement demonstrates an understanding of the importance of timing in medication administration.

B) "I have made an appointment to see my dentist next week":
Regular dental check-ups are essential for clients taking phenytoin because it can cause gingival hyperplasia (overgrowth of gum tissue). This proactive approach indicates the client's awareness of potential side effects and the need for preventive dental care.

C) "I will be glad when my seizures stop so I can quit taking this medicine":
This statement indicates a misunderstanding about the management of epilepsy with phenytoin. Phenytoin is typically used as a long-term treatment to prevent seizures, not as a medication that can be stopped once seizures cease. This misunderstanding warrants further education about the chronic nature of epilepsy management.

D) "I will notify my provider before taking any other medications":
Phenytoin can interact with many other medications, affecting its efficacy or increasing the risk of side effects. Notifying the healthcare provider before starting any new medications is crucial to prevent potential drug interactions.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. The nurse should recognize that which of the following statements by the client indicates a need for further teaching?

Correct Answer is C

Explanation

A nurse is reinforcing teaching for a client who has angina pectoris and a new prescription to apply a nitroglycerin transdermal patch daily at home. Which of the following instructions should the nurse give the client?

A nurse caring for a client who has a new prescription for atenolol. For which of the following adverse effect should these meth

A nurse is reinforcing teaching for a client who has a duodenal ulcer and a new prescription for sucralfate. The client asks the nurse how sucralfate works. Which of the following statements should the nurse make?

A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination?

A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?

A nurse is caring for a client who is 1-day postoperative following gynecologic surgery and reports incisional pain. Which of the following actions should the nurse take first?

A nurse is reinforcing teaching with a client who is to start taking enteric-coated naproxen for rheumatoid arthritis. Which of the following client statements by the client indicates a need for further teaching?

A nurse is caring for a client who is receiving warfarin therapy to prevent a deep vein thrombosis. Which of the following medications should the nurse have available in the event of an overdose?