Question 1

The nurse teaches a client taking an otic form of hydrocortisone that this preparation will achieve a reduction in which of the following?&#10;A) Inflammation and pain&#10;B) Hearing loss&#10;C) Bacteria&#10;D) Density of cerumen&#10;

Accepted Answer

Otic form of hydrocortisone is used to treat inflammation and pain in the ear. It is not effective against hearing loss, bacteria or cerumen density.

Question 2

The nurse concludes that a client has been having difficulty with excessive earwax after learning that the client has been using which of the following products?&#10;A) Carbamide peroxide and glycerin (ERO ear drops,Murine Ear)&#10;B) Isopropyl alcohol in glycerin (Swim-Ear Drops)&#10;C) Hydrocortisone,propylene glycol,alcohol,benzyl benzoate (Earsol-HC Drops)&#10;D) Boric acid and isopropyl alcohol (Auro-Dri ear drops)&#10;

Accepted Answer

Excessive earwax can be a result of using cotton swabs, hearing aids, or earplugs. But, it can also be due to the use of ear drops like Auro-Dri, Swim-Ear Drops, and Earsol-HC Drops. Carbamide peroxide and glycerin are used in ERO ear drops and Murine Ear Drops. These ear drops are used to soften and loosen earwax, making it easier to remove. Therefore, choice A would be the best answer.

Question 3

The nurse who has just listened to the beginning-of-shift report makes it a priority to first assess the client taking which type of drug because of risk of ototoxic drug effects?&#10;A) Cephalosporin&#10;B) Sulfonamide&#10;C) Penicillin&#10;D) Aminoglycoside&#10;

Accepted Answer

Aminoglycosides are known to have ototoxic effects, which means they can cause damage to the inner ear and lead to hearing loss or balance problems. It is therefore important for the nurse to assess the client taking this drug first in order to monitor for any signs of these adverse effects.

Question 4

The nurse does which of the following as the best method to warm ear drops?&#10;A) Heat the bottle in the microwave&#10;B) Leave the bottle in the refrigerator until it is ready for use&#10;C) Heat the bottle over the stovetop flame&#10;D) Run warm water over the side of the bottle&#10;

Accepted Answer

Running warm water over the side of the bottle is the safest and most effective method to warm ear drops. Heating the bottle in the microwave or over a flame can cause the liquid to heat unevenly or become too hot, which can damage the ear or cause burns. Leaving the bottle in the refrigerator will only make the drops colder.

Question 5

The nurse concludes that which of the following medications ordered for a client does not carry the risk of ototoxicity?&#10;A) Furosemide (Lasix)&#10;B) Acetaminophen (Tylenol)&#10;C) Ibuprofen (Motrin)&#10;D) Vancomycin (Vancocin)&#10;

Accepted Answer

Acetaminophen (Tylenol) does not carry the risk of ototoxicity. Furosemide (Lasix) and Vancomycin (Vancocin) are both known to carry the risk of hearing loss as a potential side effect. Ibuprofen (Motrin) may also cause temporary hearing loss or ringing in the ears at high doses.

Question 6

The nurse teaches a client that hydrocortisone is commonly combined with antibiotic ear solutions to offer which of the following effects?&#10;A) Antipyretic&#10;B) Antiinflammatory&#10;C) Antiseptic&#10;D) Antifungal&#10;

Accepted Answer

Hydrocortisone is a steroid medication that has anti-inflammatory properties. When combined with an antibiotic ear solution, it can help reduce inflammation and irritation in the ear canal. It does not have antipyretic (fever-reducing), antiseptic, or antifungal properties.

Question 7

A client with an ear infection is at high risk for which of the following nursing diagnoses?&#10;A) Impaired tissue perfusion&#10;B) Imbalanced nutrition,less than body requirements&#10;C) Risk for injury&#10;D) Impaired mobility&#10;

Accepted Answer

A client with an ear infection is at high risk for injury because the infection can cause pain, dizziness, and impaired balance, which can increase the risk of falls and other injuries. Impaired tissue perfusion, imbalanced nutrition, and impaired mobility are not directly related to an ear infection.

Question 8

To instill ear drops in a child who is 3 years old or younger,the nurse would&#10;A) hold the pinna up and back.&#10;B) hold the pinna up and out.&#10;C) hold the pinna down and forward.&#10;D) hold the pinna down and back.&#10;

Accepted Answer

For a child who is 3 years old or younger, the correct technique to instill ear drops involves pulling the pinna down and back to straighten the ear canal and allow the medication to flow down into the ear canal effectively.

Question 9

Which of the following best describes drug-induced ototoxicity?&#10;A) It is usually unilateral and irreversible&#10;B) It is most often associated with aminoglycoside medications&#10;C) It produces only hearing-related problems in the ear&#10;D) It is quickly and easily recognized by clients and reported to the physician&#10;

Accepted Answer

Drug-induced ototoxicity is often associated with aminoglycoside medications, such as gentamicin and kanamycin. These drugs can cause damage to the inner ear and result in hearing loss or balance issues.

Question 10

A client needs to use an otic preparation to treat an external ear infection.The nurse concludes that the client understands how to use the product after the client states to do which of the following?

A) Lie on the unaffected side for 5 minutes after instillation
B) Expect that symptoms may worsen temporarily for 24 hours
C) Use the drug whenever ear pain occurs
D) Gently massage the area immediately behind the ear before instillation

Accepted Answer

Lying on the unaffected side for 5 minutes after instillation allows the medication to remain in the ear canal and have sufficient time to work effectively. Expecting symptoms to worsen temporarily for 24 hours is not accurate information, using the drug whenever ear pain occurs is not appropriate, and gently massaging the area immediately behind the ear before instillation may cause further irritation or damage to the affected area.

Question 11

The nurse would conclude that a client could be experiencing the auditory type of ototoxicity as an adverse drug effect when the client reports which of the following?&#10;A) Vertigo&#10;B) Ataxia&#10;C) Hearing loss&#10;D) Headache&#10;

Accepted Answer

The answer of The nurse would conclude that a client...

Question 12

The nurse is assigned to the care of four clients receiving drugs that can adversely affect the ear.The client taking which drug is at highest risk for ototoxicity as an adverse drug effect?&#10;A) Clarithromycin&#10;B) Furosemide&#10;C) Ethacrynic acid&#10;D) Aspirin&#10;

Accepted Answer

The answer of The nurse is assigned to the care...

Question 13

The pediatric nurse has provided instruction to a parent of a 12-year-old child requiring the use of eardrops.Which statement about manipulating the pinna indicates correct understanding of the procedure for instillation?

A) Hold the pinna up and back
B) Hold the pinna up and out
C) Hold the pinna down and forward
D) Hold the pinna down and back

Accepted Answer

The answer of The pediatric nurse has provided instruction to...

Deck 44: Drugs Affecting the Ear