Nokea
Ear drops have been ordered for a 10-month-old child. How should the nurse teach the mother to pull the baby's ear to straighten the ear canal?
- A. Down and back
- B. Down and forward
- C. Up and forward
- D. Up and back
Correct Answer: A
Rationale: In children under 3, pulling the ear down and back straightens the ear canal for proper ear drop administration.
You may also like to solve these questions
An adult client has pulmonary tuberculosis. He is receiving INH 300 mg PO, ethambutol 1 g PO daily, and streptomycin 1 g IM three times a week. When he comes in for a checkup, he tells the nurse that he hates getting shots and his ears ring most of the time. What advice does the nurse expect will be given to this client?
- A. Take pyridoxine daily.
- B. Expect red-colored urine and feces.
- C. Stop the medications when your cough is gone.
- D. Take streptomycin by mouth instead of by injection.
Correct Answer: B
Rationale: Streptomycin’s ototoxicity may require discontinuation, not pyridoxine (used for INH). Red urine/feces is expected with rifampin, not listed here, but monitoring is key.
The nurse is administering the loop diuretic furosemide (Lasix) to the client diagnosed with essential hypertension. Which assessment data would warrant the nurse to question administering the medication?
- A. The client's potassium level is 4.2 mEq/L.
- B. The client's urinary output is greater than the intake.
- C. The client has tented skin turgor and dry mucous membranes.
- D. The client has lost two (2) pounds in the last 24 hours.
Correct Answer: C
Rationale: Tented skin turgor and dry membranes indicate dehydration, a contraindication for Lasix, which could worsen fluid loss. Normal potassium, output, or weight loss are expected.
The female client with Trichomonas vaginalis is prescribed metronidazole (Flagyl), an antibacterial medication. Which statement indicates the client does not understand the discharge teaching?
- A. I will not be able to drink any alcohol while taking this drug.
- B. My boyfriend will need to take this same medication.
- C. I cannot transmit the disease through oral sex.
- D. I must make sure I take all the pills no matter how I feel.
Correct Answer: C
Rationale: Trichomonas can be transmitted via oral sex; this statement shows misunderstanding. Alcohol avoidance, partner treatment, and full course completion are correct.
An elderly client is on an anticholinergic metered dose inhaler (MDI) for chronic obstructive pulmonary disease. The nurse would suggest a spacer to
- A. enhance the administration of the medication
- B. increase client compliance
- C. improve aerosol delivery in clients who are not able to coordinate the MDI
- D. prevent exacerbation of COPD
Correct Answer: C
Rationale: Spacers improve the medication delivery in clients who are unable to coordinate the movements of administering a dose with an MDI.
The nurse is preparing to administer the morning dose of digoxin, a cardiac glycoside, to a client diagnosed with congestive heart failure. Which data would indicate the medication is effective?
- A. The apical heart rate is 72 beats per minute.
- B. The client denies having any anorexia or nausea.
- C. The client's blood pressure is 120/80 mm Hg.
- D. The client's lungs sounds are clear bilaterally.
Correct Answer: D
Rationale: Clear lung sounds indicate reduced fluid overload in CHF, a sign of digoxin’s effectiveness in improving cardiac output. HR, nausea, or BP are less specific.