Page 187 - Demonstrating skill coppysaved colored-converted

10. Instill the drops into the ear canal by holding the dropper at least 1/2 inch above the
ear canal.
11. Ask the client to maintain the position for 2 to 3 minutes.
12. Place a cotton ball on the outermost part of the canal.
13. Wash hands.
14. Document the drug, number of drops, time administered, and the ear medicated.
15. Evaluate the condition of the skin in the outer ear between instillations.
A. Instilling Nose Drops
Equipment
1. Medication administration record (MAR) Non-sterile gloves
2. Medication with dropper Tissue
3. Emesis basin (optional)

Procedure
1. Check with the client and chart for any known allergies.
2. Check the MAR against the health care practitioner's written order.
3. Wash hands.
4. Check the client's identification armband.
5. Explain the Procedure to the client and provide privacy.
6. Instruct the client to blow nose unless contraindicated by client condition (such as
recent nosebleed).
7. Explain that the client may feel a burning sensation to the mucosa or a choking
sensation, or both, as the drop trickles back into the throat.
8. Place the client in a supine position and hyperextend the neck. Position the head to the
site that facilitates the drops’ reaching the expected site, as shown in Figure 29-36.
9. Instruct the client to breathe through his or her mouth.
10. Squeeze some medication into the dropper.
11. Insert the nasal drops about 3/8 inch into the nostril, keeping the tip of the dropper
away from the sides of the nares. Instill the prescribed dosage of medication and observe
the client for signs of discomfort.
12. Instruct the client to remain supine for 5 minutes.
13. Discard any unused medication remaining in the bottle.
14. Return the client to a comfortable position and provide the client with the emesis
basin and tissue to expectorate any medication that flows into the oropharynx and mouth.
15. Remove gloves and wash hands.
16. Record on the MAR the drug is given, the number of drops instilled, and nostril
medicated.
17. Observe the patient for side effects for 30 minutes after administration.

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