This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse is administering ear drops to a patient with acute bacterial otitis externa. Which ... (Read 59 times)

Pea0909berry

  • Hero Member
  • *****
  • Posts: 573
on: Jul 23, 2018
The nurse is administering ear drops to a patient with acute bacterial otitis externa. Which procedure would assist drug penetration into the ear canal?
 
  a. Administering refrigerated drops
  b. Inserting a sponge wick into the ear canal and then administering the drops
  c. Cleaning out the earwax with a cotton-tipped swab before giving the drops
  d. Inserting earplugs after administering the drops

Question 2

A 12-month-old child attends day care and is seen in a clinic for a second middle ear infection since age 8 months.
 
  The parent calls the nurse to report that after the third day of giving amoxicillin (Amoxil), the child continues to have a temperature of 39.5 C and is unable to sleep well because of pain. What will the nurse do?
  a. Encourage the parent to discuss amoxicillin/clavulanate (Augmentin) with the child's provider.
  b. Recommend that the parent consider removing the child from day care to reduce exposure to infection.
  c. Schedule a clinic appointment for the child to clinic to receive ceftriaxone (Rocephin) IM.
  d. Tell the parent the child will probably need surgery for tympanostomy tubes to reduce infections.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

harveenkau8139

  • Sr. Member
  • ****
  • Posts: 304
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Insertion of a sponge wick can aid delivery of the ear drops to the epithelium of the ear canal. Medication is absorbed into the wick, which delivers the drug to the epithelium. Ear drops should be warmed before administration to prevent dizziness, which may occur with instillation of cold drops. Cerumen should not be removed. Inserting cotton-tipped swabs may damage the epithelium. The use of earplugs may lead to further problems with bacterial otitis externa.

Answer to Question 2

ANS: A
Resistant AOM is on the rise because of the emergence of resistant pathogens such as Haemophilus influenzae and Moraxella catarrhalis, which are resistant to beta-lactam antibiotics, and Streptococcus pneumoniae, which synthesizes altered penicillin-binding proteins. Resistance is treated with high-dose amoxicillin/clavulanate. The high dose of amoxicillin increases activity against amoxicillin-resistant S. pneumoniae, and the clavulanate component overcomes beta-lactam resistance of H. influenzae and M. catarrhalis. Removing a child from day care can help reduce the number of ear infections in infants and young children. This child has only experienced two episodes, and removing the child from day care may not be easy for this family, so this recommendation is not appropriate at this time. IM Rocephin is not recommended. Surgery for bilateral myringotomy tympanotomy tubes (BMTT) is used to reduce the number of episodes in children with recurrent AOM.


Pea0909berry

  • Member
  • Posts: 573
Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

Perkypinki

  • Member
  • Posts: 339
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

A good example of polar molecules can be understood when trying to make a cake. If water and oil are required, they will not mix together. If you put them into a measuring cup, the oil will rise to the top while the water remains on the bottom.

Did you know?

Women are 50% to 75% more likely than men to experience an adverse drug reaction.

Did you know?

Pregnant women usually experience a heightened sense of smell beginning late in the first trimester. Some experts call this the body's way of protecting a pregnant woman from foods that are unsafe for the fetus.

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

A parish nurse checks the blood pressure of a church member A parish nurse checks the blood pressure of a church member
Inflammation. Inflammation is characterized by the presence of swelling, redness, heat, and pain. Sw Inflammation. Inflammation is characterized by the presence of swelling, redness, heat, and pain. Sw
Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and
A physician uses a portable electronic tablet to enter patient data while in the examination room. A physician uses a portable electronic tablet to enter patient data while in the examination room.
Patient Teaching Methods Cont. Patient Teaching Methods Cont.
Patient Physical Status Classification Patient Physical Status Classification
Video: Hydrogen bonds - role in the body

For a complete list of videos, visit our video library