EENT and Sleep Disorders Q 61 - Gyan Darpan : Learning Portal
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Tuesday 22 March 2022

EENT and Sleep Disorders Q 61



Which of the following interventions is essential when instilling Cortisporin suspension, 2 gtt right ear?
  
     A. Verifying the proper client and route.
     B. Warming the solution to prevent dizziness.
     C. Holding an emesis basin under the client’s ear.
     D. Positioning the client in the Semi-fowler's position.
    
    

Correct Answer: A. Verifying the proper client and route.

When giving medications, a nurse follows the five R’s of medication administration. The right patient: check that you have the correct patient using two patient identifiers (e.g., name and date of birth). The right route: check that the route is appropriate for the patient’s current condition.

Option B: The drops may be warmed to prevent pain or dizziness, but this action is not essential. Internal ear structures are particularly sensitive to temperature extremes. Therefore, ear (otic) medications should always be administered at room temperature. Always use sterile ear drops in case the eardrum is ruptured.
Option C: An emesis basin would be used for irrigation of the ear. Apply gentle pressure to the tragus several times. Pressure helps move medication toward the tympanic membrane. If ordered, a cotton ball may be placed loosely in the ear canal. Cotton balls help prevent the medication from escaping from the ear.
Option D: Put the client in the lateral position to prevent the drops from draining out for 5 minutes, not Semi-fowler’s position. Position patient with affected ear uppermost, on the unaffected side, if lying down, or tilt head to the side if sitting up. Proper positioning helps to stop the medication from escaping. Do not tilt the head if the patient has a cervical spine injury.

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