EAQ Ch. 58 Otic Drugs

The nurse teaches a nursing student about earwax emulsifier. Which statement by the student indicates effective learning?

"Earwax emulsifier loosens impacted cerumen."

The nurse is teaching a group of nursing students about the administration of eardrops to adults. Which statement made by the students indicates effective learning?

"Massage the tragus area of the ear gently after administering the eardrops."

The nurse finds that a patient has a bleeding ear due to rupture of a boil on the helix of the ear. What will the nurse document in the report based on the observations?

"The patient has a disorder related to the external ear."

The nursing student assesses a patient who has otitis media for whom a combination therapy of antibacterial otic drugs and steroids is prescribed. The nursing student asks the instructor why steriods are prescribed to the patient. Which response from the instructor is appropriate?

"The steroids are prescribed to reduce inflammation."

The nurse is assessing a patient who has been prescribed an antibacterial otic drug for otitis media. The nurse finds that the patient is also taking oral antibiotics for a throat infection. What advice will the nurse give to the patient in this situation?

"You should take both of the drugs regularly as per the dosing regimen."

The nurse is teaching care management to a patient with an ear infection. Which statements made by the patient indicate effective learning? Select all that apply.

- "I should use a cotton wick to apply the drug." - "I should insert eardrops directly into the ear canal."

A nursing student has been instructed to administer eyedrops and eardrops to a patient twice daily. What precautionary measures will the nurse tell the nursing student to take to prevent medication errors? Select all that apply.

- "Place an extra label on the dropper bottle that specifies eye or ear." - "Confirm the medication route with the patient before administration." - "Keep medications in their original cartons with the medication labels."

The nurse is caring for a patient with chronic otitis media. Which class of drugs may be added to the antibiotic regimen to promote comfort? select all that apply

- analgesics - antihistamines

An adult patient with an ear infection needs ofloxacin eardrops. Which actions would the nurse perform while administering this medication? Select all that apply

- place the patient in a supine position - gently massage the tragus area of the ear after administration

An adult patient with an ear infection needs ofloxacin eardrops. Which actions would the nurse perform while administering this medication? select all that apply

- place the patient in a supine position - gently massage the tragus area of the ear after administration

The primary health care provider prescribes ofloxacin for a 10-year-old child to treat an ear infection. How will the nurse administer the medicine to the patient?

Administer a 5-drop dose twice daily to the patient.

A 6-year-old patient is admitted to the hospital with a body temperature of 101 F. The nurse observes that the patient has a feeling of fullness in the right ear, associated with pain and itching. Which medication would the nurse expect to be prescribed for this patient?

Amoxicillin

A child has a fever and otitis media. Which drug does the nurse expect to act as the first line of treatment for the child?

Amoxicillin

The nurse is caring for a child who is experiencing severe discomfort and high fever. The provider diagnoses acute otitis media. Which first-line drug will be included as part of the treatment plan?

Amoxicillin

A patient is complaining of excessive earwax, leading to diminished hearing ability. The nurse will expect to teach the patient to administer which medication to correct this problem?

Carbamide peroxide

The nurse is assessing a patient who has impacted cerumen. Which medicine will the nurse expect to be prescribed to the patient for removing the impacted cerumen?

Carbamide peroxide

A patient with otitis media is receiving ofloxacin therapy. During the follow-up visit, the patient reports severe itching in the ear pinna and has swelling around the ear. Which medication should be included in the patient's prescription to provide effective treatment?

Dexamethasone

The nurse is teaching medication administration and storage techniques to a patient who has been prescribed otic and ophthalmic medications. Which statement by the patient indicates effective learning?

I should replace the medication in the original carton."

The nurse is evaluating the effectiveness of the otic medication used for otitis externa. Which will the nurse evaluate to determine if the goals of therapy have been met?

Improved hearing

A 14-year-old patient is diagnosed with perforated tympanic membrane, otitis externa, and otitis media. Which does the nurse anticipate the health care provider will prescribe?

Otic and oral antimicrobials

Which disorder can most likely cause damage to the eustachian canal?

Otitis media

The health care provider has ordered ciprofloxacin/dexamethasone otic drops for a patient with otitis externa. The nurse knows the combination medication has both antibacterial medication and topical steroid medication. What is the purpose of the steroid in this medication?

Reduce inflammation

The nurse observes a patient who is experiencing an allergic reaction on the surface of the ear. During assessment, the nurse finds that the patient has developed swelling due to pain and itching. What type of drug will be administered to the patient to relieve the symptoms?

Steroid drugs

The nurse instructs a nursing student to administer eardrops to a patient. The nursing student finds that the medication bottle has been stored in the refrigerator. What is the most appropriate action for the nursing student to follow?

Take the bottle out of the refrigerator for an hour before administration.

A 2-year-old child has been prescribed an eardrop solution for the treatment of an ear infection. How will the nurse administer the eardrop solution to the child?

The nurse administers the medicine by holding the pinna down and back.

The nurse is caring for a patient who has a deep cut on the auricle of the ear. After 1 week, the nurse finds that the wound has turned into a boil. The patient's culture reports do not reveal any infection. Which is a possible reason for this reaction?

The patient has a disorder of the external ear.

A patient who has ear pain and diminished hearing is prescribed ciprofloxacin. During a follow-up visit, the nurse finds that the patient's symptoms have not been resolved. Which may be the cause in this patient?

The patient has cerumen accumulation

The registered nurse is monitoring a student who is preparing to administer carbamide peroxide to a patient with tympanic membrane rupture. Which action made by the student nurse needs correction?

Warming carbamide peroxide in the microwave

The nurse bases the plan of care regarding administration of eardrops on which knowledge?

Warming the eardrops to room temperature before administration helps reduce a vestibular-type reaction.

A parent of a young child asks what can be used to help keep the child's ears clear of wax. Which over-the-counter medication will the nurse suggest?

carbamide peroxide

a 12-year-old patient reports ear pain and impaired hearing. While examining the child's ear, the nurse finds that he has an intact eardrum, impaction of cerumen, and a body temperature of 36.5*C. Which medication would be effective for this child?

carbamide peroxide

The nurse is teaching the patient of a 1-year-old patient how to instill eardrops for otitis externa. Which instructions on instillation does the nurse provide to the parent?

hold the pinna down and back

upon reviewing the prescription for a patient with a perforated eardrum, the nurse suspects that the medication will worsen the patient's condition. Which medication did the nurse see in the prescription?

hydrocortisone

The primary health care provider has prescribed ofloxacin eardrops to a 10-year-old patient with otitis media. The nurse teaches the child's parent how to administer the eardrops. Which statement made by the patient indicates the need for further teaching?

i should administer 10 drops of medication in the ear

A patient is being treated with otic medication. Which effect would the nurse anticipate with this treatment?

improved hearing

Which class of drugs is used to treat pain due to infection in the auditory canal?

local analgesics

The nurse is assessing a patient who has fever, earache, and impaired hearing. Which structure of the ear is MOST likely to be affected?

malleus bone

A patient with inflammation and redness in the left external ear has nausea, dizziness, pain and drainage of pus from the ear. Which may evolve if the patient's condition is left untreated?

meningitis

A pregnant patient is diagnoses with a perforated eardrum. The nurse can safely administer which otic solution to a pregnant client with a perforated eardrum?

ofloxacin

The nurse is reviewing the prescriptions of four patients with ear infections. Which patient's prescription needs correction?

patient B

A child with an ear infection has been prescribed eardrops that contain hydrocortisone and ciprofloxacin. During the follow-up visit, the child's mother reports to the nurse that the child has vomiting and dizziness. Which action by the child's mother could have resulted in these symptoms?

the mother takes the medication from the refrigerator just before administeration

A patient who has ear pain and diminished hearing is prescribed ciprofloxacin. During a follow-up visit, the nurse find that the patient's symptoms have not been resolved. Which may be the cause in this patient?

the patient has cerumen accumulation

The nurse finds that a patient is unwilling to take medications for otitis media. Which complication over a period of time does the nurse anticipate in the patient if the patient will not accept treatment for otitis media?

tinnitus