The nurse is observing a student nurse administer an otic medication to an adult client. The nurse knows the student nurse requires additional teaching when which of the following actions is observed?

  1. positions client in prone position
  2. follows the six rights of medication administration
  3. applies nonsterile gloves
  4. pulls the pinna back and up
Number 1 is correct.
Rationale: Positioning the client in a prone position is unnecessary. Instead, position the client with the affected ear uppermost or tilt the client’s head to the side if he is sitting or lying on the unaffected site. The six rights of medication administration should be followed (right client, medication, dose, route, time, documentation). Nonsterile gloves should be applied after hand washing. The pinna is pulled back and up to straighten the ear canal to facilitate the medication reaching the proper location.