A nurse instills eardrops into a patient's ear to soften a wax buildup. Which of the following is a guideline the nurse should follow?
A) Pull the pinna down and back for a child over 3 years of age and straight back for an infant or a child younger than 3 years.
B) Eardrops should not be considered if the ear canal has swollen to the point that medication cannot pass.
C) The dropper should be held with its tip resting on the ear.
D) If both ears are to be treated, wait 5 minutes before instilling drops in the second ear.
D
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The nurse takes the patient's vital signs. The data collected are
a. subjective c. irrelevant b. objective d. secondary
Which of the following approaches is correct technique when wound irrigation is performed?
a. Placing the patient in supine position b. Placing the syringe directly into the wound c. Using sterile technique for a chronic wound d. Selecting a soft catheter for deep wounds with small openings
During the nurse's initial assessment of a school-age child, the child reports a pain level of 6 out of 10. The child is lying quietly in bed watching television. Which nursing action is appropriate?
1. Reassess the child in 15 minutes to see if the pain rating has changed. 2. Administer the prescribed analgesic. 3. Do nothing, since the child appears to be resting. 4. Ask the child's parents if they think the child is hurting.
What important intervention (s) can a nurse do for COPD patients?
a. Monitor levels of O2 and respiratory rate closely b. Auscultate heart sounds c. Monitor urine output d. None of the above