Author Question: An adult patient has been assessed in the emergency department and diagnosed with necrotizing otitis ... (Read 54 times)

Hungry! · **on:** Jul 23, 2018

An adult patient has been assessed in the emergency department and diagnosed with necrotizing otitis externa. The primary care provider has prescribed ciprofloxacin.

In preparation for administering this medication, what action should the nurse perform? A) Establish intravenous access.
B) Remove as much cerumen as possible from the patient's ear canal.
C) Flush the affected ear with warmed sterile water.
D) Establish a sterile field around the perimeter of the ear.

Question 2

A patient is diagnosed with an adrenal tumor. With which of the following abnormalities of the adrenal gland will the patient most likely be diagnosed?

A) Primary adrenocortical insufficiency
B) Secondary adrenocortical insufficiency
C) Adrenocortical hyperfunction
D) Hyperaldosteronism

Joc · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Ciprofloxacin (Cipro) is the drug of choice for necrotizing otitis externa. Initially, administration is intravenous, until symptoms decrease; then it is oral. Consequently, IV access is necessary for the initiation of treatment. This is a priority over rinsing the ear or removing cerumen. It is unnecessary to create a sterile field.

Answer to Question 2

C
Feedback:
Adrenocortical hyperfunction (Cushing's disease) may be a result of a primary adrenal tumor. Primary adrenocortical insufficiency is associated with destruction of the adrenal cortex by disorders such as tuberculosis, cancer, or hemorrhage. Secondary adrenocortical insufficiency is produced by inadequate secretion of corticotropin. Hyperaldosteronism is a rare disorder caused by adenoma or hyperplasia of the adrenal cortex cells that produce aldosterone.