PrepU Abrams' Clinical Drug Therapy
(12th ed) Chapter 60 Ears
The nurse identifies which as the correct method to instill ear drops in the adult client? -
ANS-Pull the pinna of the ear up and back
The nurse is caring for an older adult with functional limitations and otitis externa in the right ear.
After instilling the client's prescribed eardrops, how should the nurse position the client? -
ANS-Left side-lying
The nurse recognizes that Cipro HC drops are more convenient for parents with small children
because of which of the following? - ANS-Twice-daily administration
A young child has been brought to the clinic with signs and symptoms that are consistent with
otitis externa. What assessment question should the nurse ask to address the etiology of this
health problem? - ANS-"Has your child been swimming a lot lately?"
Which of the following are important points for the nurse to remember when administering an
otic preparation to a client? Select all that apply: - ANS-Warm the otic preparation prior to
administration.
Straighten the ear canal.
Never insert the dropper tip into the ear canal.
Insert a piece of cotton loosely into the ear canal to prevent the drug from flowing out
A client has a diagnosis of otitis media and has just begun antibiotic treatment. The client
reports otalgia and has asked for medication. The nurse should anticipate the administration of:
- ANS-acetaminophen (Tylenol)
A school-aged child was diagnosed with otitis media and prescribed a 10-day course of oral
amoxicillin. On the seventh day of treatment, the child's mother has contacted the nurse and
stated that the child has been symptom-free for the past three days. What is the nurse's best
action? - ANS-Advise completion of the antibiotics as prescribed.
A male client has just begun to use Cortisporin Otic for otitis externa. The nurse knows that the
client will continue this therapy for how long? - ANS-10 days
A school-aged child reporting several days of right ear pain has presented for care,
accompanied by a parent. The health care provider has diagnosed the child with otitis media, so
the nurse should anticipate what treatment? - ANS-Oral amoxicillin
, **Oral amoxicillin is the treatment of choice for otitis media
The nurse is evaluating the effectiveness of antibiotic therapy for a client who has been treated
for acute otitis media. What assessments will indicate a resolution of the infection? (Select all
that apply.) - ANS-Improved hearing
No bulging of the tympanic membrane
Normal body temperature
A nurse received a small bottle of drops that read "for otic use only." What part of the body does
the nurse know that these drops are to be used in? - ANS-Ear
A mother is frustrated that her 2-year-old daughter keeps developing ear infections. "I don't
understand. Her older brother seldom has any. Why does she have so many?" The nurse
explains there can be several different reasons for this. Which of the following might be one of
those reasons? - ANS-"The eustachian tube is straighter in younger children, allowing easy
access to pathogens."
When teaching a client about Cortisporin Otic, the nurse will mention which of the following as a
potential adverse effect? - ANS-Ototoxicity
**Can cause burning, stinging, & Ototoxicity.
A 10-year-old client is diagnosed with acute otitis media. What does the nurse anticipate the
health care provider will prescribe? - ANS-Amoxicillin
A patient has been admitted to the unit with necrotizing otitis externa. The nurse anticipates the
patient will receive ciprofloxacin (Cipro) via which route initially? - ANS-IV
**Necrotizing otitis externa is treated with Cipro initially IV until symptoms decrease
A child has been diagnosed with acute otitis media. Before the child begins antibiotic treatment,
what assessment should the nurse perform? - ANS-Assess the child for allergies to penicillins.
The nurse is preparing to initiate IV Cipro in a patient with necrotizing otitis externa. The nurse is
aware that dosage adjustment will be necessary if the patient has a history of which of the
following? - ANS-Renal impairment
A mother has returned to the clinic with her child who appears to have another ear infection.
During the assessment the mother mentions that putting the ear drops in is such a pain and
after the child starts to feel better, she sometimes forgets to administer them. The nurse
(12th ed) Chapter 60 Ears
The nurse identifies which as the correct method to instill ear drops in the adult client? -
ANS-Pull the pinna of the ear up and back
The nurse is caring for an older adult with functional limitations and otitis externa in the right ear.
After instilling the client's prescribed eardrops, how should the nurse position the client? -
ANS-Left side-lying
The nurse recognizes that Cipro HC drops are more convenient for parents with small children
because of which of the following? - ANS-Twice-daily administration
A young child has been brought to the clinic with signs and symptoms that are consistent with
otitis externa. What assessment question should the nurse ask to address the etiology of this
health problem? - ANS-"Has your child been swimming a lot lately?"
Which of the following are important points for the nurse to remember when administering an
otic preparation to a client? Select all that apply: - ANS-Warm the otic preparation prior to
administration.
Straighten the ear canal.
Never insert the dropper tip into the ear canal.
Insert a piece of cotton loosely into the ear canal to prevent the drug from flowing out
A client has a diagnosis of otitis media and has just begun antibiotic treatment. The client
reports otalgia and has asked for medication. The nurse should anticipate the administration of:
- ANS-acetaminophen (Tylenol)
A school-aged child was diagnosed with otitis media and prescribed a 10-day course of oral
amoxicillin. On the seventh day of treatment, the child's mother has contacted the nurse and
stated that the child has been symptom-free for the past three days. What is the nurse's best
action? - ANS-Advise completion of the antibiotics as prescribed.
A male client has just begun to use Cortisporin Otic for otitis externa. The nurse knows that the
client will continue this therapy for how long? - ANS-10 days
A school-aged child reporting several days of right ear pain has presented for care,
accompanied by a parent. The health care provider has diagnosed the child with otitis media, so
the nurse should anticipate what treatment? - ANS-Oral amoxicillin
, **Oral amoxicillin is the treatment of choice for otitis media
The nurse is evaluating the effectiveness of antibiotic therapy for a client who has been treated
for acute otitis media. What assessments will indicate a resolution of the infection? (Select all
that apply.) - ANS-Improved hearing
No bulging of the tympanic membrane
Normal body temperature
A nurse received a small bottle of drops that read "for otic use only." What part of the body does
the nurse know that these drops are to be used in? - ANS-Ear
A mother is frustrated that her 2-year-old daughter keeps developing ear infections. "I don't
understand. Her older brother seldom has any. Why does she have so many?" The nurse
explains there can be several different reasons for this. Which of the following might be one of
those reasons? - ANS-"The eustachian tube is straighter in younger children, allowing easy
access to pathogens."
When teaching a client about Cortisporin Otic, the nurse will mention which of the following as a
potential adverse effect? - ANS-Ototoxicity
**Can cause burning, stinging, & Ototoxicity.
A 10-year-old client is diagnosed with acute otitis media. What does the nurse anticipate the
health care provider will prescribe? - ANS-Amoxicillin
A patient has been admitted to the unit with necrotizing otitis externa. The nurse anticipates the
patient will receive ciprofloxacin (Cipro) via which route initially? - ANS-IV
**Necrotizing otitis externa is treated with Cipro initially IV until symptoms decrease
A child has been diagnosed with acute otitis media. Before the child begins antibiotic treatment,
what assessment should the nurse perform? - ANS-Assess the child for allergies to penicillins.
The nurse is preparing to initiate IV Cipro in a patient with necrotizing otitis externa. The nurse is
aware that dosage adjustment will be necessary if the patient has a history of which of the
following? - ANS-Renal impairment
A mother has returned to the clinic with her child who appears to have another ear infection.
During the assessment the mother mentions that putting the ear drops in is such a pain and
after the child starts to feel better, she sometimes forgets to administer them. The nurse
