The nurse teaching a mother how to administer ear drops to an infant tells the mother to pull the child's ear:
1. Up and back and direct the solution onto the eardrum
2. Down and back and direct the solution onto the eardrum
3. Up and back and direct the solution toward the wall of the canal
4. Down and back and direct the solution toward the wall of the canal
4
Rationale: The ear is pulled down and straight back in a child younger than 3 years. The infant is turned onto the side, with the affected ear uppermost. The nurse pulls down and back on the earlobe with the nondominant hand while resting the wrist of the dominant hand on the infant's head. The medication is directed toward the wall of the canal rather than onto the eardrum. The infant should lie with the affected ear uppermost for 10 to 15 minutes to retain the solution. In an adult or a child older than 3 years, the ear is pulled up and back to straighten the auditory canal.
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You have just received report on a 27-year-old woman who is coming to your unit from the emergency department with a torn meniscus
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Which action by a nurse shows a breach of a patient's right to privacy?
a. Documents the patient's daily behaviors during hospitalization b. Releases information to the patient's employer without consent c. Discusses the patient's history with other staff during care planning d. Asks family to share information about a patient's prehospitalization behavior
Which of these instructions should the nurse give to parents of children who have sickle-cell anemia?
a. Allow the child to lead a normal life. b. Have the child immunized with pneumococcal, meningococcal, and hepatitis B vaccines. c. Supplement the child's diet with oral iron drops. d. Seek symptomatic treatment before crises arise.
Which statement best describes a Schilling test?
a. Administration of radioactive cobalamin and the measurement of its excretion in the urine to test for vitamin B12 deficiency b. Measurement of antigen-antibody immune complexes in the blood to test for hemolytic anemia c. Measurement of serum ferritin and total iron-binding capacity in the blood to test for iron deficiency anemia d. Administration of folate and measurement in 2 hours of its level in a blood sample to test for folic acid deficiency anemia.