Chapter 58: Otic Drugs

Chapter 58: Otic Drugs

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse is preparing to administer a new order for eardrops. Which is a potential contraindication to the use of many otic preparations?

a.	Ear canal itching
b.	Perforated eardrum
c.	Staphylococcus aureus otitis externa infection
d.	Escherichia coli ear infection

 

 

ANS:  B

Potential contraindications to the use of otic preparations include perforated eardrum. The other options are potential indications for eardrops.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 924

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

2. The nurse is administering eardrops that contain a combination of an antibiotic and a corticosteroid. What is the rationale for combining these two drugs in eardrops?

a.	The combination works to help soften and eliminate cerumen.
b.	The corticosteroid reduces pain associated with ear infections.
c.	The drops help to eliminate fungal infections.
d.	The corticosteroid reduces the inflammation and itching associated with ear infections.

 

 

ANS:  D

Corticosteroids, such as hydrocortisone, are commonly used in combination with otic antibiotics to reduce the inflammation and itching associated with ear infections. Antibiotics do not eliminate fungal infections. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 922

TOP:   NURSING PROCESS: Planning

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. The nurse is teaching a patient’s wife about administering eardrops to her husband. The nurse will use which technique when demonstrating the skill?

a.	Pull the pinna of the ear down and back.
b.	Pull the pinna of the ear up and back.
c.	Pull the pinna of the ear down and forward.
d.	Pull the pinna of the ear up and forward.

 

 

ANS:  B

Hold the pinna of the ear up and back when giving eardrops to adults or children older than 3 years of age. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   p. 924

TOP:   NURSING PROCESS: Implementation

MSC:  NCLEX: Safe and Effective Care Environment: Management of Care

 

4. When reviewing a patient’s medical record, the nurse notes an order for carbamide peroxide eardrops. Based on this information, the nurse interprets that these eardrops are being used for which purpose?

a.	To reduce inflammation
b.	To reduce production of cerumen
c.	To loosen the cerumen for easier removal
d.	To inhibit growth of microorganisms in the external canal

 

 

ANS:  C

Wax emulsifiers such as carbamide peroxide work to loosen the cerumen for easier removal. The other options are incorrect.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   p. 923

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies