ATI LPN
Pharmacology and the Nursing Process 10th Edition Test Bank
Chapter 58 : Otic Drugs Questions
Question 1 of 5
When reviewing a patient's medical record, the nurse notes an order for carbamide peroxide eardrops. Based on this information, the nurse interprets that these eardrops are being used for which purpose?
Correct Answer: C
Rationale: Wax emulsifiers such as carbamide peroxide work to loosen the cerumen for easier removal.
Question 2 of 5
The nurse is preparing to give an earwax emulsifier to a patient and will assess the patient for which contraindication before administering the drops?
Correct Answer: B
Rationale: Earwax emulsifiers are indicated for excessive earwax in the outer ear canal and are not to be used without prescription when ear drainage, tympanic membrane rupture, or significant pain or other irritation is present. Cerumen impaction may cause partial deafness in the affected ear.
Question 3 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 4 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 5 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.