Chapter 60 NCLEX-Style Review Questions
A 5-year-old child has been brought to the clinic with signs and symptoms that are consistent with otitis externa. What assessment question should the nurse ask to address the etiology of this health problem?
"Has your child been swimming a lot in the last little while?"
A nurse in an extended care facility has instilled medicated ear drops into a resident's left ear as ordered. What instruction should the nurse provide to the client after instilling ear drops into the client's left ear?
"Keep lying on your right side for the next 20 minutes or so."
An older adult diagnosed with necrotizing otitis externa has been receiving IV ciprofloxacin and is now transitioning to the oral form of the drug. What health education should the nurse provide to the client?
"You can take this medication with food to reduce the chance that it will upset your stomach."
The nurse who provides care at a long-term care facility is aware of this resident's complex medical history and should recognize which residents have a risk factor that predisposes them to developing necrotizing otitis externa?
1. The resident diagnosed with type 2 diabetes who is now prescribed insulin therapy. 2. The resident receiving treatment for human immunodeficiency virus (HIV).
A client has received a diagnosis of acute otitis externa and been prescribed a combination otic solution. The nurse should teach the client that this medication contains which component?
1. an antiseptic 2. an antibiotic 3. a steroid
The nurse should teach the client prescribed polymyxin B-neomycin-hydrocortisone suspension that the maximum duration of treatment should not exceed how many days?
10 days
A child has been diagnosed with acute otitis media. Before the child begins antibiotic treatment, what assessment should the nurse perform?
Assess the child for allergies to penicillins.
When considering the treatment of toddlers, what is a potential advantage of Cipro HC over other alternative drug therapies?
It does not have to be administered as frequently as other alternative medications.
A client who presented with signs and symptoms characteristic of otitis externa is requesting prescription ear drops. The nurse would recognize that the safe and effective use of polymyxin B-neomycin-hydrocortisone suspension would be contraindicated by what variable?
The client's infection is thought to be caused by a virus.
The nurse should suggest to the parents of a toddler diagnosed with otitis media that their child's ear pain can be treated with what over-the-counter (OTC) adjuvant medication therapy?
acetaminophen & ibuprofen
What nursing action should be performed prior to the administration of ear drops to treat otitis externa?
removing any excess cerumen from the client's ear
The nurse has administered a client's first scheduled dose of amoxicillin. What subsequent client report should prompt the nurse to seek the discontinuation of this drug?
shortness of breath
