Author Question: The nurse teaching a mother how to administer ear drops to an infant tells the mother to pull the ... (Read 93 times)

sarasara · **on:** Jul 22, 2018

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

Question 2

A client brought to the emergency department is dead on arrival (DOA). The family of the client tells the physician that the client had terminal cancer.

The emergency department physician ex-amines the client and asks the registered nurse (RN) to contact the medical examiner regarding an autopsy. The family of the client tells the RN that they do not want an autopsy performed. Which of the following responses to the family is most appropriate? 1. An autopsy is mandatory for any client who is DOA.
2. The decision is made by the medical examiner.
3. I will contact the medical examiner regarding your request.
4. It is required by federal law. Why don't we talk about it, and why don't you tell me how you feel?

mariahkathleeen · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

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.

Answer to Question 2

3

Rationale: An autopsy is required by state law in certain circumstances, including the sudden death of a client and a death that occurs under suspicious circumstances. The client may have provided oral or written instructions regarding an autopsy following death. If an autopsy is not required by law, these oral or written requests will be granted. If no oral or written instructions were provided, state law determines who has the authority to consent for an autopsy. Most often, the decision rests with the surviving relative or next of kin.