NCLEX-RN

Category - Pharmacological

A 2 ½ year-old boy is brought to the emergency department around midnight. The mother recalls her son screaming in the middle of his sleep and putting his hand up to the left ear. Acute otitis media is noted. Antibiotics are prescribed. To administer the ear drops, the nurse pulls the pinna:
  1. Up and back
  2. Up and toward the front
  3. Down and toward the front
  4. Down and toward the back
Explanation
Answer: C - When administering otic medications to children under the age of three, the pinna should be pulled down and toward the front. By using these directions, the nurse is able to straighten the ear canal. After the age of three, the pinna is pulled up and back.
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