Quiz Ch. 58- Otic Drugs Flashcards
- The nurse is teaching the mother of a one-year-old patient how to instill eardrops for OE. What instructions on installation does the nurse provide to the mother?
A) hold the pinna down and back
B) just put in as many drops as you can get into the ear
C) put a cotton ball in to keep the medication in the ear
D) keep the eardrops in cold place so they work better
A) hold the pinna down and back
– When administering eardrops to adults, hold the pinna up and back. In children younger than three years of age, hold the pinna down and back.
- 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 criteria on for this patient?
A) mother demonstrates accurate medication administration technique
B) mother takes infants temperature prior to administration of medication
C) patient lies still Fred ministration of medication and five minutes after administration
D) patient stops using medication when the ear no longer has active drainage
A) mother demonstrates accurate medication administration technique.
– The outcome criterion for this patient is for the mother to demonstrate the appropriate administration of the medication to the pt
- PT 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) carbamide peroxide
B) hydrocortisone
C) pramoxine
D) acetic acid
A) Carbamide peroxide
– It works to soft and earwax for easy removal while providing a week antibacterial action to prevent infection. It is an ear wax emulsifier
- The healthcare provider has ordered ciprofloxacin/dexamethasone (Ciprodex) optic drops for a patient 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) reduce inflammation
C) treat infection
D) decrease the amount of ear wax
B) 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
- The nurses evaluating the effectiveness of the otic medication used for OE. What will the nurse evaluate for to determine if the goals of the therapy have been met?
A) increased pain in ear
B) improved hearing
C) redness around ear
D) discharge in canal
B) improved hearing
– 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 nurse Is providing education to a patient diagnosed with otitis externa (OE). which statement by the patient indicates an understanding of the OE treatment plan?
A) proper administration includes holding the pinna up and out in an infant
B) warming the airdrops to room temperature before administration helps reduce a vestibular-type reaction
C) the pinna of an adult should be held down and back
D) eardrops may be warmed in the microwave before administration
B) warming the airdrops to room temperature before administration helps reduce vestibular-type reaction
– Eardrops that are administered to cold may cause vomiting and dizziness by stimulating a vestibular-type reaction. Neither should the eardrops be warmed in the microwave because too high of a temperature can destroy the effectiveness of the medication. Room temperature is sufficient.
– Eardrops in adults should be administered by holding the pinna up and out; in children under 3 years, the pinna is held down and back
- The nurse is providing education to a patient diagnosed with otitis externa (OE). Which statement by the PT indicates an understanding of the OE treatment plan?
A) I will finish taking all the pills for my ear infection
B) this is contagious, and I need to stay away from others for 24 hours
C) I will use the eardrops in the ear canal to treat this condition
D) the cold I had last week cause this to occur; it will go away on its own
C) 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
- A mother of a young child asks what she can use to help keep her child’s ears clean from wax. What OTC medication will the nurse suggest?
A) Cortic
B) Debrox
C) Floxin
D) Ciprodex
B) Debrox
– Carbamide peroxide (Debrox) is a commonly used earwax emulsifier
- A 14-year-old patient is diagnosed with perforated tympanic membrane, OE, and otitis media. What does the nurse anticipate the provider will prescribe?
A) Otic antimicrobials only
B) otic an oral antimicrobials
C) oral antimicrobial only
D) otic antimicrobial otic antifungal
B) Otic and oral antimicrobials
– The patient will need a topical/local otic antimicrobial for the OE and perforated tympanic membrane in addition to a systemic (oral) antimicrobial to treat otitis media
