ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 58 : Otic Drugs Questions
Question 1 of 5
The nurse is assessing a child with otitis media. Which statement about otitis media is correct?
Correct Answer: C
Rationale: Otitis media is rarely treated with over-the-counter medications and commonly follows an upper respiratory tract infection in children. Hearing deficits may occur if prompt therapy is not started. Common symptoms include pain, fever, malaise, and a sensation of fullness in the ears.
Question 2 of 5
The nurse is administering eardrops that have been refrigerated. Which action by the nurse is correct before administering the drops?
Correct Answer: D
Rationale: Give eardrops at room temperature. If the pharmacy indicates that the drug is to be refrigerated, it should be taken out of the refrigerator up to 1 hour before it is to be instilled so that it can warm up to room temperature. Eardrops that are overheated may lose potency. Administration of solutions that are too cold may cause a vestibular reaction that includes vomiting and dizziness.
Question 3 of 5
What teaching by the nurse is important for the safety of the patient who had just received eardrops?
Correct Answer: A
Rationale: Warn the patient that dizziness may occur after application of the eardrops; the patient should remain supine or sitting during instillation and for a few minutes thereafter.
Question 4 of 5
The nurse is teaching a patient about proper administration of eardrops. Which statements are correct? (Select all that apply.)
Correct Answer: C,D,E
Rationale: Remove cerumen before instillation by irrigation, not with cotton-tipped swabs. The drops must be at room temperature; cold drops may cause dizziness or other discomfort. Hold the pinna of the ear up and back when giving eardrops to adults or children older than 3 years of age. A small cotton ball may be inserted gently into the ear canal to keep the drug in place, but do not force or jam it into the ear canal.
Question 5 of 5
A patient has been diagnosed with bacterial otitis externa and will be receiving eardrops. Which of these eardrops are appropriate for this infection? (Select all that apply.)
Correct Answer: A,E
Rationale: Both Floxin Otic and Cipro HC Otic are antibacterial eardrops. Cipro HC also contains a corticosteroid. Both Cortic and Acetasol HC are antifungal products; Debrox (carbamide peroxide) is an earwax emulsifier used to loosen earwax for easier removal.