Which technique is the proper method to administer otic drops to an adult client?

Straighten the auditory canal by pulling it down and toward the front.

Gently pull the auricle up and back before instilling the drops.

Ask the client to lower the head and take a deep breath during the instillation.

Don sterile glove and gently insert one finger in the canal to promote the flow of the drops.

Answer and Explanation

The Correct Answer is B

Gently pull the auricle up and back before instilling the drops. This technique straightens the auditory canal and allows the drops to reach the eardrum.

It also prevents contamination of the ear canal by the finger.

Choice A is wrong because pulling the auditory canal down and toward the front is the proper method for children, not adults.

This technique is used for children because their auditory canal is shorter and more curved than adults.

Choice C is wrong because lowering the head and taking a deep breath during the instillation has no effect on the administration of otic drops.

It may also cause discomfort or dizziness for the client.

Choice D is wrong because wearing sterile gloves and inserting one finger in the canal is unnecessary and potentially harmful.

It may introduce bacteria or damage the ear canal or eardrum.

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Correct Answer is B

Explanation

Face the client while speaking and ask them to verify understanding. This intervention would help the client to read the nurse’s lips and confirm the message.

It would also show respect and empathy for the client’s condition.

Choice A is wrong because using exaggerated mouth and hand movements when speaking can be distracting and insulting to the client.

It can also distort the words and make them harder to understand.

Choice C is wrong because standing in front of a light when speaking to the client can create glare and make it difficult for the client to see the nurse’s face.

Touching the client to be sure they know where you are can be startling and unnecessary if the client is not visually impaired.

Choice D is wrong because obtaining an interpreter for sign language is inappropriate unless the client knows sign language.

Not all hearing-impaired clients use sign language, and some may prefer other methods of communication.

A. I will avoid excessive amounts of cheese and caffeine. B. My spouse will just have to put up with any new irritability. C. I will change positions slowly, as dizziness may occur. D. My spouse will check my blood pressure if I experience a headache.

Correct Answer is B

Explanation

My spouse will just have to put up with any new irritability. This statement indicates that the client requires further educational reinforcement about the medication because phenelzine is an antidepressant that should improve the mood and reduce irritability. The client may also need to be assessed for possible adverse effects of phenelzine, such as agitation, insomnia, or hypomania.

Choice A is wrong because it is a correct statement. Phenelzine is a monoamine oxidase inhibitor (MAOI) that can interact with foods that contain tyramine, such as cheese and caffeine, and cause a hypertensive crisis.

The client should avoid excessive amounts of these foods while taking phenelzine.

Choice C is wrong because it is also a correct statement. Phenelzine can cause orthostatic hypotension, which is a drop in blood pressure when changing positions.

The client should change positions slowly, as dizziness may occur.

Choice D is wrong because it is partially correct. Phenelzine can cause headaches, which may be a sign of a hypertensive crisis.

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Which technique is the proper method to administer otic drops to an adult client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with hearing loss. Which nursing intervention will best facilitate communication with the client?

Correct Answer is B

Explanation

A client has been recently started on phenelzine, a monoamine oxidase inhibitor (MAOI) for depression. Which statement indicates that the client requires further educational reinforcement about the medication?

Correct Answer is B

Explanation

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