PHARM 1 - EXAM 1 QUESTIONS WITH 100% RATED ANSWERS 2025/2026 LATEST UPDATED/GET A+

Gentle massage of the tragus area of the ear after administering eardrops results in A. decreased absorption of the medication. B. softening of the cerumen in the ear canal. C. increased coverage of the medication in the ear canal. D. reduced pain in the ear. - -Correct answer: C -Rationale: Gentle massage of the tragus area of the ear after instillation of eardrops helps to increase the coverage or distribution of the medication in the ear canal. Which assessment does the nurse give priority before administering carbamide peroxide (Debrox) for the removal of cerumen? A. The patient's complaint B. The patient's hearing acuity C. The patient's ability to cooperate D. The presence of an intact tympanic membrane - D. The presence of an intact tympanic membrane The most important assessment before the administration of any medication in the ear is whether the tympanic membrane is intact; if it is not, medication could reach the inner ear. Complete understanding of the patient's complaint and assessment of the patient's ability to hear and ability to cooperate are reasonable nursing interventions before the administration of carbamide peroxide, but they are less important than protection of the inner ear. The nurse bases the plan of care regarding administration of eardrops on what knowledge? a. The pinna of an adult should be held down and back. b. Eardrops may be warmed in the microwave before administration. c. Proper administration includes holding the pinna up and out in an infant. d. Warming the eardrops to room temperature before administration helps reduce a vestibular- type reaction. - d. Warming the eardrops to room temperature before administration helps reduce a vestibular-type reaction. Eardrops that are administered too cold may cause vomiting and dizziness by stimulating a vestibular-type reaction. Neither should the eardrops be warmed in the microwave because too high a temperature can destroy the effectiveness of the medication. Room air temperature is sufficient. Eardrops in adults should be administered by holding the pinna up and out; in children younger than 3 years of age, the pinna is held down and back. A client is complaining of excessive earwax, leading to diminished hearing ability. The nurse will anticipate to teach the client about which medication to treat this condition? a. Pramoxine (Caladryl) b. Ofloxacin (Floxin Otic) c. Carbamide peroxide (Debrox) d. Hydrocortisone (A-Hydrocort) - c. Carbamide peroxide (Debrox) Carbamide peroxide works to soften earwax for easy removal while providing a weak antibacterial action to prevent infection The nurse is providing education to a client diagnosed with otitis externa (OE). Which statement by the client indicates an understanding of the OE treatment plan? a. "I will use the eardrops in the ear canal to treat this condition." b. "I will finish taking all of my antibiotic pills for my ear infection." c. "This is contagious, so I need to stay away from others for 24 hours." d. "The cold I had last week caused this to occur; it will go away on its own." - a. "I will use the eardrops in the ear canal to treat this condition." The treatment for OE is use of otic drops in the ear canal. The nurse is educating the mother of an infant on how to instill eardrops for otitis media with a perforated eardrum. Which is an appropriate nursing outcome criterion for the mother? a. Demonstrates accurate medication administration technique b. Takes infant's oral temperature before administration of medication c. Uses a hot washcloth over affected ear to reduce ear pain and discomfort d. Instructs infant to remain supine for 5 minutes after instillation of ear drops - a. Demonstrates accurate medication administration technique The outcome criterion for this client is for the mother to demonstrate the appropriate administration of the medication to the infant. The health care provider has prescribed ciprofloxacin-dexamethasone (Ciprodex) otic drops for a client with OE. The nurse knows the combination medication has both antibacterial medication and topical steroid medication. What is the purpose of the steroid in this medication? a. Relieve pain b. Treat infection c. Reduce inflammation d. Decrease the amount of earwax - c. Reduce inflammation The purpose of a steroid included in otic drops is to assist in decreasing inflammation in the canal and the itching associated with the inflammation. A mother of a young child asks the nurse what over-the-counter (OTC) medication will remove earwax build up in her child's ears. What OTC medication should the nurse suggest? a. Ofloxacin (Floxin) b. Carbamide peroxide (Debrox) c. Ciprofloxacin and dexamethasone otic (Ciprodex) d. Chloroxylenol, hydrocortisone, and pramoxine (Aero Otic HC) - b. Carbamide peroxide (Debrox) Carbamide peroxide (Debrox) is a commonly used OTC earwax emulsifier. It is combined with other components (e.g., glycerin, a lubricant) that help soften and lubricate cerumen before irrigation. Carbamide peroxide slowly releases hydrogen peroxide and oxygen when exposed to moisture. The others are antifungals or antibacterial otic drugs. The nurse is teaching the mother of a 1-year-old client how to instill ear drops for OE. What instructions on instillation does the nurse provide to the mother? a. "Hold the pinna down and back." b. "Put a cotton ball in to keep the medication in the ear." c. "Keep the ear drops in cold place so they work better." d. "Just put in as many drops as you can get into the ear." - a. "Hold the pinna down and back." When administering eardrops to adults, hold the pinna up and back. In children younger than 3 years of age, hold the pinna down and back. Allow a period of time for adequate coverage of the ear by the medication. Store eardrops, solutions, and ointments at room temperature before instillation. Administration of solutions that are too cold may cause a vestibular type of reaction with vomiting and dizziness. The nurse is evaluating the effectiveness of the otic medication used for OE. What will the nurse evaluate to determine if the goal of therapy has been met? a. Improved hearing b. Redness around the ear c. Increased pain in the ear d. Discharge in the ear canal - a. Improved hearing The therapeutic effects of otic drugs, as with all drugs, are gauged by evaluating whether goals and objectives have been met. The therapeutic effects of otic drugs include less pain, redness, and swelling in the ear; a reduction in fever; and resolution of any other signs and symptoms associated with the ear disorder. Improvement in hearing may also be an anticipated therapeutic effect. The other options are indicative the therapy was not effective and further evaluation needs to be completed by the health care provider. A client is diagnosed with a perforated tympanic membrane, OE, and otitis media. What does the nurse anticipate the health care provider will prescribe? a. Oral antibacterial only b. Otic antibacterials only c. Otic and oral antibacterials d. Otic antibacterial and otic antifungal - c. Otic and oral antibacterials The client will need a topical or local otic antibacterial for the OE and perforated tympanic membrane in addition to a systemic (oral) antibacterial to treat the otitis media. A 2-year-old is seen in the pediatrician's office with a bacterial middle ear infection. Which medication does the nurse anticipate being prescribed for the child? amoxicillin Cortic carbamide peroxide (Debrox) Acetasol HC - Correct answer: A Amoxicillin is the first-line drug for most children with bacterial otitis media. Cortic is composed of hydrocortisone (a steroid), pramoxine (a local anesthetic), chloroxylenol (an antiseptic antifungal), propylene glycol diacetate (an emulsifying drug), and benzalkonium chloride (an antiseptic preservative), and is used for fungal infections of the ear. Carbamide peroxide (Debrox) is a commonly used earwax emulsifier. Acetasol HC is used to treat fungal infections of the ear. The camp nurse reviews the "shopping list" of supplies needed for the upcoming camping season. What product is recommended to prevent and treat chronic impaction of cerumen? a. Hydrogen peroxide b. Rubbing alcohol c. Charcoal d. Salt solution - a. Hydrogen peroxide A patient is complaining of excessive earwax, leading to diminished hearing ability. The nurse will expect to teach the patient regarding administration of which medication to correct this problem? A. hydrocortisone B. pramoxine C. acetic acid D. carbamide peroxide - D. carbamide peroxide While teaching a patient about treatment for otitis media, the nurse should mention that untreated otitis media may lead to? A. mastoiditis B. throat infections C. fungal ear infections D. decreased cerumen producti - A. mastoiditis The nurse is preparing to administer eardrops. Which technique for administration is correct? A. Warm the solution to 100 degree F before using B. Position the patient so that the unaffected ear is accessible C. massage the tragus before administering the drops D. Gently insert a cotton ball into the outer ear canal after the drops are given - D. Gently insert a cotton ball into the outer ear canal after the drops are given During an exam, the nurse notes that a patient has perforated tympanic membrane. There is an order for eardrops. Which action by the nurse is most appropriate? A. Give the medication as ordered B. Check the patient's hearing and then give the drops C. Hold the medication and check with the prescriber D. Administer the drops with a cotton wick - C. Hold the medication and check with the prescriber The nurse is preparing to administer eardrops and finds that the bottle has been stored in the refrigerator. Which is the best action by the nurse? A. Remove the bottle from the fridge and administer the drops B. Heat the bottle for 5 seonds in the microwave before administering C. Let the bottle sit in a cup of hot water for 15 minutes before administering D. Remove the bottle from the fridge 1 hour before the drops are to be given - D. Remove the bottle from the fridge 1 hour before the drops are to be given The nurse is preparing to administer carbamide peroxide (debrox) to an adult patient with impacted cerumen. Which actions by the nurse are correct? Select all that apply A. have the patient lie on his side with the affected ear up B. chill the medication before administering it C. pull the pinna of the ear down and back D. pull the pinna of the ear up and back E. gently irrigate the ear with warm water to remove the softened ear wax - A. have the patient lie on his side with the affected ear up D. pull the pinna of the ear up and back E. gently irrigate the ear with warm water to remove the softened ear wax A patient with a severe middle ear infection will generally require treatment with which type of drug? A. topical steroids B. systemic steroids C. topical antibiotics D. systemic antibiotics - D. systemic antibiotics An older adult patient has a buildup of cerumen in his left ear. The nurse expects that this patient will receive which type of drug for this problem? A. antifungal B. wax emulsifier C. steroid D. local analgesic - B. wax emulsifier