You are administering an otic drop for an ear infection to a 12-year-old client. What is the proper method for otic drop instillation in this client?
Shake bottle well, pull car outward and downward, instill drops.
Shake bottle well, pull ear outward and upward, instill drops
Warm bottle in hand pull ear outward and upward, instill drops
Warm bottle in hand, pull ear outward and downward, instill drops
The Correct Answer is C
A) Shake bottle well, pull ear outward and downward, instill drops: This method is typically used for younger children, such as infants or toddlers, as the ear canal in younger children is more horizontal. However, this is not the appropriate method for a 12-year-old.
B) Shake bottle well, pull ear outward and upward, instill drops: This method is incorrect because the ear should be pulled outward and upward for a child under 3 years old, not for a 12-year-old.
C) Warm bottle in hand, pull ear outward and upward, instill drops: This is the correct method for a 12-year-old client. The ear should be pulled outward and upward to straighten the ear canal, allowing the drops to reach the deeper parts of the ear. Additionally, warming the bottle in your hands prevents discomfort that might arise from cold drops being instilled in the ear.
D) Warm bottle in hand, pull ear outward and downward, instill drops: This method is appropriate for children under 3 years old. For children older than 3 years, the ear should be pulled upward to open the ear canal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
CYP 450 enzymes are responsible for the metabolism of many drugs. Smoking can induce certain CYP 450 enzymes, particularly CYP1A2, which leads to an increase in the metabolism of drugs that are substrates of this enzyme. When a person begins smoking, the induction of these enzymes can cause drugs to be metabolized more quickly, which typically results in lower drug levels in the body. However, the statement asks whether the level of medication will increase in this client, and since smoking induces enzyme activity, it would typically lead to decreased, not increased, drug levels. However, in the context of drug-drug interactions and other metabolic pathways, the metabolism rate could be altered in ways that might increase or affect the therapeutic response.
Correct Answer is ["4"]
Explanation
Convert micrograms (mcg) to milligrams (mg):
The prescribed dose is 200 mcg.
We know that 1 mg = 1000 mcg.
Therefore, 200 mcg = 200 / 1000 = 0.2 mg.
Calculate the number of tablets:
Each tablet contains 0.05 mg of levothyroxine.
The desired dose is 0.2 mg.
We can use the following formula: (Desired dose) / (Tablet strength) = Number of tablets
(0.2 mg) / (0.05 mg/tablet) = 4 tablets
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