The practical nurse (PN) is administering otic drops to an adult who has a ruptured eardrum. Which action should the PN implement?

Collect ear drainage for culture.

Warm the drops to room temperature.

Don sterile gloves to instill the drops.

Insert the dropper into the ear canal.

Answer and Explanation

The Correct Answer is B

A. Collect ear drainage for culture:
May be indicated if ordered, but not routine before instillation of drops.

B. Warm the drops to room temperature:
Prevents dizziness or nausea from instilling cold drops and promotes comfort.

C. Don sterile gloves to instill the drops:
Clean technique is used for otic medications, not sterile gloves.

D. Insert the dropper into the ear canal:
Risk of trauma and contamination; dropper should remain above canal opening.

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Correct Answer is C

Explanation

A. Replace the umbilical cord clamp close to the infant's body: Cord clamping helps prevent umbilical bleeding, but does not address the systemic clotting deficiency common in newborns.
B. Provide the first oral fluids using formula: Feeding is important but does not prevent bleeding.
C. Administer phytonadione intramuscularly: Vitamin K (phytonadione) is given shortly after birth to prevent hemorrhagic disease of the newborn, as neonates have immature gut flora and cannot synthesize enough vitamin K for clotting.
D. Use the axillary method to obtain core body temperature: Temperature monitoring is important but unrelated to bleeding prevention.

A. Withhold the medication and notify the charge nurse of the finding. B. Administer the oral medication with a glass of water as scheduled. C. Place the client on NPO status until further assessment is completed. D. Crush the medication and mix with applesauce for administration.

Correct Answer is B

Explanation

A. Withhold the medication and notify the charge nurse: Not needed; goiter is common in hypothyroidism, and there are no swallowing/breathing issues.
B. Administer the oral medication with a glass of water as scheduled: No contraindication; continue therapy as prescribed.
C. Place the client on NPO status: Not indicated unless airway compromise or swallowing difficulty is present.
D. Crush the medication and mix with applesauce: Levothyroxine should be taken whole with water on an empty stomach for optimal absorption.

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The practical nurse (PN) is administering otic drops to an adult who has a ruptured eardrum. Which action should the PN implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which action is most important for the practical nurse (PN) to implement to prevent bleeding in the neonate during the first hour after birth?

Correct Answer is C

Explanation

The practical nurse (PN) is preparing to administer levothyroxine 25 mcg PO daily to a newly admitted client with hypothyroidism. The PN observes that the client's neck is enlarged, but the client denies pain or difficulty swallowing. Which action should the PN take?

Correct Answer is B

Explanation

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