A client diagnosed with diabetes asks the nurse about reusing ...

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A client diagnosed with diabetes asks the nurse about reusing insulin syringes. Assessment reveals that the client has poor personal hygiene and difficulty with fine motor skills. The nurse also knows the client has financial difficulties.
 
  What instruction should the nurse give this client?
  1. The American Diabetes Association advises that syringes are single use only.
  2. In order to save money, I advise you to reuse syringes up to three times or until the needle feels dull.
  3. Only people who practice good personal hygiene can reuse syringes.
  4. All clients are different, but I advise you to use a new syringe each injection.

Question 2

The nurse is preparing to administer eardrops to a 6-year-old client. What nursing action is correct?
 
  1. Pull the earlobe down and back to straighten the ear canal.
  2. Insert the tip of the applicator into the ear canal.
  3. Put the eardrops in the refrigerator for 10 minutes prior to administration.
  4. Press gently on the tragus of the ear a few times after administration.

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Answer to Question 1

Correct Answer: 4
Rationale 1: This is not true considering the American Diabetes does indicated that syringes can be reused.
Rationale 2: This client does not meet the criteria for suggesting the reuse of syringes.
Rationale 3: The nurse should not directly confront the client with the statement about personal hygiene as that would damage the nurse-client relationship.
Rationale 4: While the ADA does indicate that syringes can be reused, that suggestion is not made to people who have poor personal hygiene, acute concurrent illness, open wounds on the hands, or decreased resistance to infection. In this case, the nurse has assessed that this client has poor hygiene and has difficulty with fine motor skills. The best answer is to suggest that this client use a new syringe for each injection.

Answer to Question 2

Correct Answer: 4
Rationale 1: After age 3, the pinna of the ear should be pulled up and back to straighten the ear canal.
Rationale 2: The tip of the eardrop applicator should not be placed into the ear canal, but should be held just above the canal so that the drops can fall onto the side of the canal.
Rationale 3: Eardrops should be warmed prior to administration, not cooled.
Rationale 4: The nurse should press gently but firmly on the tragus of the ear after eardrops are administered in order to direct the drops into the ear canal.

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