Answers
The nurse is going to administer eye ointment in the newborn's eyes. Which action by the nurse
is the correct procedure? ✔️✔️The nurse applies a ribbon of ointment along the lower eyelid
on the conjunctiva from inner to outer canthus.
The nurse is going to instill ear drops in a 7-year-old child. In which direction should the nurse
pull the pinna of the ear ✔️✔️Up and back
The mother of a 10-year-old child calls the doctor's office stating that she just administered ear
drops to her child and the child is crying, stating that the ear hurts worse than it did before the ear
drops were applied. What should the nurse tell the mother? ✔️✔️"I will notify the health care
provider. It is possible the eardrum may have ruptured.
hat is the purpose of massaging the tragus of the ear after ear drop instillation? ✔️✔️It helps
move the medication inward.
At what temperature should the solution be when ear drops are instilled? ✔️✔️Body
temperature
, What is the primary danger associated with occluding the ear canal with the ear dropper during
the administration of ear drops? ✔️✔️It can create too much pressure within the canal with
subsequent injury to the eardrum
You are planning to teach a patient about using an MDI without a spacer device. What are some
points you should include in the teaching plan? (Select all that apply.) ✔️✔️Show the patient
how the canister fits into the inhaler.
Warn the patient about overuse of the inhaler, including drug side effects.
Instruct the patient how to time inhalation with the depression of the medication canister.
Instruct the patient to shake the canister before administration
Which symptoms indicate overuse of MDIs? (Select all that apply. ✔️✔️Cardiac dysrhythmias
Tachycardia
Restlessness
A patient is demonstrating the use of an MDI (without a spacer device). The patient removes the
mouthpiece cover and shakes the inhaler. The patient takes a deep breath and exhales, places the
mouthpiece of the inhaler in the mouth, and depresses the canister while inhaling. The patient
holds the breath for approximately 10 seconds and exhales with canister in mouth. The patient
shakes the canister again and repeats the procedure in approximately 10 seconds. The patient
replaces the mouthpiece cover when finished administering puffs. What steps did the patient
eliminate or require further teaching? (Select all that apply.) ✔️✔️Used the wrong method of
exhalation after using the MDI.