Comprehensive Nursing Pharmacology Q 235

---

When administering otic preparations, the nurse should observe the tympanic membrane for:

  

     A. Erythema

     B. Perforation

     C. Fluid

     D. All of the above

    

    

Correct Answer: D. All of the above

---

The nurse should assess all of these parameters when administering otic preparations. When a patient is seen in the clinic setting, the healthcare provider may be responsible for examining the outer structures of the ear (i.e., the earlobe and the skin around the ear) as part of the intake procedure. Be sure to document a description of any drainage or visible wax. Before prescribing an otic preparation, the primary health care provider examines the ear’s external and internal structures.

---

Option A: Assess the patient’s response to therapy. For example, a decrease in pain or inflammation should occur. Examine and palpate the outer ear and ear canal for any local redness or irritation that may indicate sensitivity to the drug.

Option B: Perforated eardrums may be a contraindication to some of the otic preparations. Check with the primary health care provider before administering an otic preparation to a patient with a perforated eardrum.

Option C: These drugs are contraindicated in patients with a known hypersensitivity to the drugs. The otic drugs are used with caution during pregnancy and lactation. The pregnancy category of most of these drugs is unknown when they are used as otic drugs. Drugs to remove cerumen are not used if ear drainage, discharge, pain, or irritation is present; if the eardrum is perforated; or after ear surgery.

---