Chap. 29: medications

The nurse is preparing to administer a tuberculin skin test to a client via the intradermal route. Which action should the nurse perform when administering this test to the client? 1.Inject the medication and place a pressure dressing over the medication site. 2.Make a circular mark around the injection site after administration of the tuberculin test. 3.Administer the injection with the needle bevel facing downward at a 10- to 15-degree angle. 4.Massage the area with an alcohol swab after injection to ensure that the medication is absorbed.

2.Make a circular mark around the injection site after administration of the tuberculin test.

What is the average size catheter used for infustions that are not ER?

20-24

How long should suction remain off after feeding and why?

20-30 min so contents are not sucked out

The nurse is preparing to insert an intravenous needle in a 1-year-old child for a one-time administration of fluids due to dehydration. Which needle would the nurse likely select?

23 gauge winged infusion set

How long can a multi-dose vial be used?

24 hours

What gauge of needle is used for an intradermal injection?

25-27 gauge (ie very small)

What gauge is used for subcut?

25-27 gauge, depending on amount

The nurse is providing medication instructions to a parent. Which statement by the parent indicates a need for further instruction? 1."I should cuddle my child after giving the medication." 2."I can give my child a frozen juice bar after he swallows the medication." 3."I should mix the medication in the baby food and give it when I feed my child." 4."If my child does not like the taste of the medicine, I should encourage him to pinch his nose and drink the medication through a straw."

3."I should mix the medication in the baby food and give it when I feed my child." The nurse would teach the parent to avoid putting medications in foods because it may give an unpleasant taste to the food, and the child may refuse to accept the same food in the future. In addition, the child may not consume the entire serving and would not receive the required medication dosage. The mother should provide comfort measures immediately after medication administration, such as touching, holding, cuddling, and providing a favorite toy. The mother should offer juice, a soft drink, or a frozen juice bar to the child after the child swallows the medication. If the taste of the medication is unpleasant, the child should pinch the nose and drink the medication through a straw.

The nurse is preparing to administer medication through a nasogastric tube that is connected to suction. To administer the medication, the nurse should take which action? 1.Position the client supine to assist in medication absorption. 2.Aspirate the nasogastric tube after medication administration to maintain patency. 3.Clamp the nasogastric tube for 30 to 60 minutes following administration of the medication. 4.Change the suction setting to low intermittent suction for 30 minutes after medication administration.

3.Clamp the nasogastric tube for 30 to 60 minutes following administration of the medication. this keeps the medication from being sucked up.

The nurse is preparing to administer medications to a client via a percutaneous endoscopic gastrostomy (PEG) tube. Which medication prescription should the nurse question? 1.Furosemide 20 mg via PEG tube daily 2.Digoxin 0.25 mg via PEG tube daily 3.Isosorbide mononitrate 30 mg via PEG tube daily 4.Acetaminophen elixir 650 mg via PEG every 4 hours as needed for temperature >101º F (>38.3º C)

3.Isosorbide mononitrate 30 mg via PEG tube daily BC it is enteric coated.

What length needle is used for subcut?

3/8 (injected at 90) most common or 5/8 (injected at 45)

When is trough level drawn?

30 min. before next dose

How many doses does it take to achieve maximum therapeudic dose?

4-5 doses

The nurse is teaching a mother to instill drops in her infant's ear. The nurse explains that to give the ear drops correctly, the mother needs to take which action? 1.Pull up and back on the earlobe and direct the solution toward the eardrum. 2.Pull down and back on the auricle and direct the solution toward the eardrum. 3.Pull up and back on the auricle and direct the solution toward the wall of the canal. 4.Pull down and back on the earlobe and direct the solution toward the wall of the canal.

4.Pull down and back on the earlobe and direct the solution toward the wall of the canal.

The nurse prepares to administer an intramuscular injection to a 4-month-old infant. The nurse selects which best site to administer the injection? 1.Ventrogluteal 2.Lateral deltoid 3.Rectus femoris 4.Vastus lateralis

4.Vastus lateralis

How many seconds should the typical vaccine .5 ml vial be injected?

5 seconds.

Subcut usually is injection at ____ angle unless the person is small or frail and it is injected at ____ angle.

90 degrees; 45 degrees

As the nurse you know that there is a risk of a transfusion reaction during the administration of red blood cells. Which patient below it is at most RISK for a febrile (non-hemolytic) transfusion reaction? A. A 38 year old male who has received multiple blood transfusions in the past year. B. A 42 year old female who is immunocompromised. C. A 78 year old male who is B+ that just received AB+ blood during a transfusion. D. A 25 year old female who is AB+ and just received B+ blood.

A. A 38 year old male who has received multiple blood transfusions in the past year.

What solution or solutions below are compatible with red blood cells?* A. Normal Saline B. Dextrose Solutions C. Any medications with normal saline D. No solutions are compatible with blood

A. Normal Saline

A patient started receiving their first unit of blood at 1000. It is now 1010 and the patient is reporting itching, chills, and a headache. In addition, the patient's temperature is now 99.8'F from 98'F. Your next nursing action is:* A. Stop the transfusion B. Notify the physician C. Decrease the rate of the transfusion D. Reassure the patient that this is normal and will resolve in 30 minutes.

A. Stop the transfusion

The nurse has administered a glycerin suppository to a client who has not had a bowel movement for several days. One minute after the nurse inserted the suppository, the client told the nurse that she involuntarily expelled the suppository. What is the nurse's best action? Apply more lubricant to the suppository and reinsert it. Report this to the health care provider and ask if the suppository should be reinserted. Obtain an order for an oral laxative. Reinsert the suppository and assist the client into a prone position.

Apply more lubricant to the suppository and reinsert it.

A nurse has administered an injection to a client. Which intervention should the nurse perform to reduce discomfort and provide quick relief? Apply a eutectic mixture of local anesthetic to the site. Massage the site following injection. Numb the skin with an ice pack after the injection. Apply pressure to the site during needle withdrawal.

Apply pressure to the site during needle withdrawal.

when administering medications to a patient with a feeding tube, the nurse should dissolve each crushed medication in at least ___ mL of water.a. 30 to 60b. 20 to 30c. 15 to 20d. 5 to 15

B. 20-30ml

When giving a medicine through a nasogastric (NG) tube, the nurse will first do which of the following?a. flush the tube with 30 mL of waterb. Check placement of the tubec. take the vital signsd. ask the patient if the tube is painful

B. check placement of the tube, flush with 15-30ml

Your patient needs 1 unit of packed red blood cells. You've completed all the prep and the blood bank notifies you the patient's unit of blood is ready. You send for the blood and the transporter arrives with the unit at 1200. You know that you must start transfusing the blood within _________.* A. 5 minutes B. 15 minutes C. 30 minutes D. 1 hour

C. 30 minutes

A patient with O+ blood received A+ blood. The patient is at risk for?* A. Febrile transfusion reaction B. None: O+ and A+ are compatible blood types C. Hemolytic transfusion reaction D. Allergic transfusion reaction

C. Hemolytic transfusion reaction

Before initiating the blood transfusion, you obtain the patient's baseline vital signs, which are: heart rate 100, blood pressure 115/72, respiratory rate 18, and temperature 100.8'F. Your next action is to:* A. Administer the blood transfusion as ordered. B. Hold the blood transfusion and reassess vital signs in 1 hour. C. Notify the physician before starting the transfusion. D. Administer 200 mL of the blood and then reassess the patient's vital signs.

C. Notify the physician before starting the transfusion.

An oral medication has been ordered for a client who has a nasogastric tube in place. Which nursing activity would increase the safety of medication administration? Bring the liquids to room temperature before administration. Flush the tube with 30 to 40 mL saline before medication administration. Have the client swallow the pills around the tube. Check the tube placement before administration.

Check the tube placement before administration.

The nurse is administering a subcutaneous injection of insulin to a client. Which action would the nurse take after choosing the appropriate administration site? Use a firm, back and forth motion to cleanse the site. Pinch up the subcutaneous tissue Cleanse the area around the injection site with alcohol. Remove the needle cap with the dominant hand, pulling it straight off.

Cleanse the area around the injection site with alcohol.

which of the following is the correct needle for an intramuscular (Im) injection?a. 18 G, 1-inb. 20 G, 1/2 inc. 25 G, 2-ind. 21 G, 1 1/2 in

D. 21G 1.5 inch.

The nurse is preparing to administer two types of insulin by mixing in one syringe. What is the first action by the nurse? Roll the modified insulin vial to mix it well. Inject air into each vial equal to the amount of insulin prescribed. Determine compatibility of the insulins by checking a drug compatibility table. Check the expiration date on each vial.

Determine compatibility of the insulins by checking a drug compatibility table.

A nurse is administering an intradermal injection to a client for a skin allergy test. When the nurse is finished, there is no sign of a wheal or blister at the site of injection. What is the nurse's best action in this situation?

Document the administration and inform the primary care provider. No wheal means the medication was not injected.

T or F. heparin should be injected near the belly button as long as it is an inch away?

False; must be 2 inches away somewhere in the abdomen, usually the love handles

What route are enteral and parenteral feedings administered

PEG tube:enteral::IV:parenteral

The nurse is assessing a client who was seen 7 days ago with strep throat. The client states, "I felt better after 2 days of the antibiotic the provider prescribed, so I quit taking it." What would the nurse do to address this situation?

Provide education on taking all antibiotics for effective treatment, NOT have them continue rest of dose

While administering a medication via a syringe, a client sharply moves and the nurse accidentally encounters a needlestick. What is the priority nursing action?

Report the needlestick to the nurse manager

pinching is used in ___ with thinner patients and pulling skin taught is used in ____

Sub Q; IM

A client is newly prescribed a medication that must be taken on an empty stomach. Which statement by the nurse best describes why some medications should be taken before meals? "This is because gastric acid is decreased after meals, which can affect the way your medicine works." "This is because your medication can cause nausea and that can affect the way it works." "This is because decreased blood flow occurs after meals, which can affect the way your medicine works." "This is because food and some drinks can affect the way your medicine works."

This is because food and some drinks can affect the way your medicine works

A client with an infection is receiving intravenous antibiotic therapy. The client has an intermittent infusion device in place. The nurse flushes the device with normal saline solution before administering the antibiotic based on which rationale?

To avoid blood clots

A client is taking numerous eye drops to prepare for cataract surgery. Which teaching about ophthalmic application will the nurse provide?

Wait 5 min. between eye drops

what can be done to reduce pain from IM injections

Z track, and pushing 10 seconds before injection to reduce blood flow.

A physician at a health care facility suggests the use of a metered-dose inhaler for an asthmatic client. Which describes the mechanism of a metered-dose inhaler?

a canister containing medication that is released when the container is compressed

What sub cut site is absorbed most quickly and the slowest?

abdomen is fastest while dorsogluteal the slowest

The nurse is preparing to administer a bolus of an intravenous medication. How should the medication be administered? over 3 hours over the duration of a 12-hour shift in tandem with another medication all at once

all at once

A nurse is caring for a client who is being tube fed. What care should the nurse take when administering medications through an enteral tube?

avoid crushing time release tablets

Which way should bevel face when inserting inradermally?

bevel UP

Where is TPN administered?

central venous catheter or PICC line.

A client has been prescribed nasal medication. What care should the nurse take to avoid potential complications due to the administration of this medication?

check for allergies

The nurse is preparing to give medications to a client with anxiety. The order indicates that the client is to have bupropion, 7.5 mg by mouth twice daily. What is the appropriate nursing action?

contact provider to clarify order as buspirone and bupropion are easily confused.

lactated ringer's is a hypertonic solution? t or f

false; it is an isotonic solution.

All transfusion reactions except what involve stopping the solution immediately.

fluid overload you would slow the infusion, not stop.

What direction are eye ointments moved?

from innter canthus to outer

standing order

has a time limit implied or written

lactated ringer's is used to treat

hypovolemic, shock, burns, and dehydration diarhhea and vomiting.

A nurse is administering an injection to a client at a 15-degree angle. The client has a venous access port. Which injection can be administered at this angle?

intradermal

An emergency room nurse is ordered to administer nitroglycerin to a client being treated for acute pulmonary hypertension. Which means of drug administration would the nurse use to achieve rapid results in this emergency situation? Oral powder IV Infusion Sublingual tablet Rectal suppository

iv infusion

An emergency room nurse is ordered to administer nitroglycerin to a client being treated for acute pulmonary hypertension. Which means of drug administration would the nurse use to achieve rapid results in this emergency situation?

iv nitroglycerin

Which 3 qualities would make a drug more absorbable?

lipid soluble, acidic (low PH)

Where does metabolism of a drug usually occur?

liver

What insulins cannot be combined?

long-acting demetir and glargine

air embolism symptoms

mostly deal with low perfusion. dysapnea--increased respirations as compensation"grasping for air", cyanosis, decrease in blood pressure (although venous pressure may increase), and increase in HR.

Z-track technique is used more frequently in

older adults with muscle wasting or thin clients.

Where should ear drops be dispensed?

on the side of ear canal, NOT in middle ear.

Examples of medications that are given by enteral routes include which of the following: SELECT ALL THAT APPLYa. total parenteral nutrition (TPN) solutionsb. oral tabletsc. oral capsulesd. rectal suppositoriese. liquid medications.

oral route and rectal

What should the nurse do differently when a patient has phelbitis versus infiltration?

phlebitis remove catheter and apply warm compress. think warm with hot.

What should be done after eye drops are placed in the conjunctival sac?

place pressure on inner canthus to avoid systemic absorption into tear duct

What would a nurse do if she witnesses another nurse giving 2 ml subcutaneously

stop them; 1 ml maximum

Ear drop pinna direction for infants, children, and adults

straight back for infants, down and back for children, and up and back for adults.

What is the best explanation from the nurse as to why a client must return to the unit in 48 hours after having a tuberculin skin test intradermal?

to determine the extent to which the client responded to the drugs

5 Sub Q injection sites?

tricep, upper ventro&dorso gluteal (love handle), thigh, abdomen,

Direction of vial when inserting air versus withdrawing med

upright on table at eye level; upside down, eye level.

Where are children injected for IM

vastus lateralis

preferred IM site

ventrogluteal

IM injection sites

ventrogluteal, vastus lateralis, deltoid

A nurse is applying a vaginal cream to a client with a fungal infection. Which guideline is recommended for this application?

wash with warm wash cloth and have them void before applying.

Children's medication dosages are most often calculated using the child's body surface area and ___ while an adults, is calculated based on ____ and ____

weight, NOT age. weight and age used for adults

When should air be removed from syringe and when should it not be removed?

when drawing from vial; not when prefilled syringe such as enoxparin

When should air and how much air should be injected into vial?

with vial upside down, needle facing upward, inject amount of air equal to amount of medication to be withdrawn.

The nurse is working the night shift in the ER when an ambulance arrives carrying a man s/p motor vehicle accident (MVA). His initial BP is 100/56 and the nurse notes that he is bleeding heavily from a laceration on the forehead. Fifteen minutes later, the nurse reassesses the client and finds that his BP is 95/58. What IV fluid would the nurse expect to be ordered? 0.9% NS 0.45% NS D5 ¼ NS 3% NS

.9% NS. isotonic solution used for FVD

3 checks of prescriptions

1. check when pulls out of cabinent 2. compare to EHR 3. name and DOB (ie before giving to patient)

The nurse is reviewing the instillation technique for both eye ointment and eye drops with the parent of a pediatric client diagnosed with bacterial conjunctivitis. Which statement made by the parent would indicate that learning has taken place? 1."I will be careful not to touch the eye or eyelid during administration." 2."I will place my child on the left side to administer drops in the right eye." 3."I will administer the eye ointment and then wait 5 minutes and administer the eye drops." 4."I will have my child blink after the instillation to encourage thorough distribution of the eye drops."

1."I will be careful not to touch the eye or eyelid during administration."

A client is prescribed an eye drop and an eye ointment for the right eye. How should the nurse best administer the medications? 1.Administer the eye drop first, followed by the eye ointment. 2.Administer the eye ointment first, followed by the eye drop. 3.Administer the eye drop, wait 15 minutes, and administer the eye ointment. 4.Administer the eye ointment, wait 15 minutes, and administer the eye drop.

1.Administer the eye drop first, followed by the eye ointment. WAIT 5 MIN, NOT 15 min.

The nurse is preparing to administer medication using a client's nasogastric tube. Which actions should the nurse take before administering the medication? Select all that apply. 1.Check the residual volume. 2.Aspirate the stomach contents. 3.Turn off the suction to the nasogastric tube. 4.Remove the tube and place it in the other nostril. 5.Test the stomach contents for a pH indicating acidity.

1.Check the residual volume. 2.Aspirate the stomach contents (only done BEFORE, NOT after medication). 3.Turn off the suction to the nasogastric tube. 5.Test the stomach contents for a pH indicating acidity.

A client being discharged to home with a prescription for eye drops to be given in the left eye has received instructions regarding self-administration of the drops. The nurse determines that the client needs further instruction if, on return demonstration, the client takes which action? 1.Lies supine, pulls up on the upper lid, and puts the drop in the upper lid 2.Lies supine, pulls down on the lower lid, and puts the drop in the lower lid 3.Tilts the head back, pulls down on the lower lid, and puts the drop in the lower lid 4.Lies with head to the right, puts the drop in the inner canthus, and slowly turns to the left while blinking

1.Lies supine, pulls up on the upper lid, and puts the drop in the upper lid

The nurse prepares a client for ear irrigation as prescribed by the primary health care provider. Which action should the nurse take when performing the procedure? 1.Warm the irrigating solution to 98.6º F (37.0º C). 2.Position the client with the affected side up following the irrigation. 3.Direct a slow, steady stream of irrigation solution toward the eardrum. 4.Assist the client to turn his or her head so that the ear to be irrigated is facing upward.

1.Warm the irrigating solution to 98.6º F (37.0º C). Before ear irrigation, the nurse should inspect the tympanic membrane to ensure that it is intact. The irrigating solution should be warmed to 98.6º F (37.0º C) because a solution temperature that is not close to the client's body temperature will cause ear injury, nausea, and vertigo. The affected side should be down following the irrigation to assist in drainage of the fluid. When irrigating, a direct and slow steady stream of irrigation solution is directed toward the wall of the canal, not toward the eardrum. The client is positioned sitting, facing forward with the head in a natural position; if the ear is faced upward, the nurse would not be able to visualize the canal.

The nurse is preparing to administer eye drops. Which interventions should the nurse take to administer the drops? Select all that apply. 1.Wash hands. 2.Put gloves on. 3.Place the drop in the conjunctival sac. 4.Pull the lower lid down against the cheekbone. 5.Instruct the client to squeeze the eyes shut after instilling the eye drop. 6.Instruct the client to tilt the head forward, open the eyes, and look down.

1.Wash hands. 2.Put gloves on. 3.Place the drop in the conjunctival sac. 4.Pull the lower lid down against the cheekbone.

Average needle length for intradermal and angle

1/4 inch to 1/2 inch. 25-27 gauge; 15 degree angle

Enteral feeding tubes (ie PEG tubes) should be flushed with how much before and after feeding?

15-30ml

A nurse is caring for a client, age 4 years, who is being treated for osteomyelitis in his left femur. He is on a 28-day course of IV vancomycin to be administered daily at 1300. Today is day 3 of treatment, and the pharmacist asks the nurse to draw a peak vancomycin level. What would be the most appropriate time to draw this blood? 1200 1500 2000 Wait until day 5 of treatment.

1500. peak is taken within 2 hours of admin.

Sub cut site

2 on front=abdomen and 3 on back=bicep, trapezoid, dorso gluteal

When is peak level usually measured?

1 hour after admin.

The nurse is teaching a client with diabetes about insulin pen injection. The nurse will teach that the insulin in prefilled pens is stable for how long?

1 month

The nurse is preparing to teach a patient about a newly prescribed drug therapy. What time is best for improving teaching effectiveness?a. during lunch so that the patient is not too hungry to learnb. after the patient wakes up from a nap and no visitors are present.c. right after the health care provider has told the patient that the health problem cannot be cured.d. when the patient's spouse and 3 adult children are present so that the family can reinforce the teaching.

B after nap and no visitors. while you would want to have a spouse involved in education, 3 visitors is too many.

Which instruction should the nurse give to a client to ensure that a nasal medication is deposited within the nose rather than into the throat? "Aim the tip of the container toward the nasal passage." "Breathe through your mouth as the drops are instilled." "Place a rolled towel beneath the neck if you are unable to sit." "Remain in the sitting position for 5 minutes."

Aim the tip of the container toward the nasal passage. (ie upward instead of downward)

A nurse educator is teaching a student nurse how to choose the correct needle for an injection. Which guidelines for needle selection might they discuss?

As the gauge number becomes larger, the size of the needle becomes smaller

A nurse at the health care facility needs to administer an otic application for a client with an earache. What should the nurse do after instilling the prescribed eardrops in the client's ear? Ask the client to maintain the position for some time. Briefly postpone the application in the second ear. Place a cotton ball in the ear to absorb excess medication. Instill the medication in the opposite ear if prescribed.

Ask the client to maintain the position for some time

When administering a subcutaneous injection to a client, the needle pulls out of the skin when the skin fold is released. What would be the appropriate next action of the nurse in this situation? Document the incident and inform the primary care provider. Discard the equipment and start the procedure from the beginning. Engage safety shield on needle guard and discard needle appropriately. Pull out and discard the needle.

Engage safety shield on needle guard and discard needle appropriately.

A patient requires 40 units of NPH insulin and 10 units of regular insulin daily subcutaneously. What is the correct sequence when mixing insulins? Inject air into the regular insulin vial and withdraw 10 units; then, using the same syringe, inject air into the NPH vial and withdraw 40 units of NPH insulin. Inject air into the NPH insulin vial, being careful not to allow the solution to touch the needle; next, inject air into the regular insulin vial and withdraw 10 units; then, withdraw 40 units of NPH insulin. Inject air into the regular insulin vial, being careful not to allow the solution to touch the needle; next, inject air into the NPH insulin vial and withdraw 40 units; then, withdraw 10 units of regular insulin. Inject air into the NPH insulin vial and withdraw 40 units; then, using the same syringe, inject air into the regular insulin vial and withdraw 10 units of regular insulin.

Inject air into the NPH insulin vial, being careful not to allow the solution to touch the needle; next, inject air into the regular insulin vial and withdraw 10 units; then, withdraw 40 units of NPH insulin.

A client requests more medication for pain at the surgical site rated 8 out of 10. There is a prn prescription for 10 mg PO of oxycodone for pain greater than 6 out of 10 on the pain scale. Which action should the nurse take first? Determine if the prescription is appropriate Verify clients name and date of birth Review file for adverse effects Administer the prescribed amount of oxycodone

Verify clients name and date of birth. Determining if the prescription is appropriate as well as reviewing for adverse effects are done prior to initiating therapy of the drug, not when the client has been taking the medication.

A 73-year-old client who is very obese requires an intramuscular injection of Demerol 100 mg. Which of the following is least appropriate for the administration of this medication?A. A 5/8-inch needle is used at a 45-degree angle to the skinB. Pinching the skin before administration is necessaryC. Aspirating the syringe before injecting the medication is a priorityD. Using a 25-gauge needle would be best

aspirating is NOT recommended anymore

Before the nurse administers a dose of digoxin (Lanoxin) to a patient, the nurse should assess:a. blood pressureb. respiratory ratec. apical heart rated. level of consciousness

c. apical heart rate because it is most accurate as compared to radial. located on mitrial landmark.

If an IV has become infiltrated, the nurse will observe which of the following assessment findings?a. Pallor, painb. Erythema, warmthc. Erythema, swellingd. Warmth, swelling

c. erythema and swelling

A nurse is administering a hepatitis B shot intramuscularly. What would be the appropriate site for administration?

deltoid

unit does method

individual packs of meds

5 rights of medication administration

right medication DMPRT right dose right patient right route right time

A nurse is assessing a client's lower arm for insertion of an IV catheter. The nurse palpates the vein and notes that it feels hard. Which action by the nurse would be most appropriate? Loosen the tourniquet slightly. Apply a topical anesthetic. Select another site. Apply a warm compress for 5 minutes.

select another site

The nurse transcribes an order that reads: Colace 100 mg PO daily. This is an example of which type of order?

standing order

What should be done if 2 medications need to be infused through a single line PICC line that had received TPN?

start a new line or if not possible space out infusions as much as possible and check for drug compatibility

When would a 45 degree angle be used for sub cut

thinner patient; usually 90

The client is prescribed ear drops to be given in both ears. After administering the ear drops in one ear, how long would the nurse wait before administering the ear drops in the other ear?

wait 5 min. between ear drops

How does making sure a TPN bag is discarded within 24 hours benefit the patient?

prevents infections.

What is done if air is inside syringe withdrawn from a vial?

reinstert air into airspace in vial.

A young woman has an IV infusing for magnesium sulfate to treat preterm labor. The woman develops a fever. What is the first assessment the nurse should make? blood pressure IV site

IV site. BP 2nd

How long should ear drops be held in ear and how long before administering other ear drops

5min and 5 min.