The most appropriate method to administer ear drops to an infant is:

Appeared in: DSSSB 13 August 2024

Explanation

In infants and children younger than 3 years, the external auditory canal is shorter and curves upward.
Pulling the pinna (the outer ear) down and back straightens this canal.
This anatomical adjustment allows the medicated drops to flow directly and effectively toward the tympanic membrane (eardrum) for optimal absorption and therapeutic effect.

Option A: This is not a recognized or effective technique for straightening the ear canal in any age group.
Option C: This movement is incorrect and does not align with the anatomical structure needed to straighten the ear canal.
Option D: This technique is used for adults and children older than 3 years, not for infants.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Pediatric Medication Administration: Otic Route as background academic context rather than a clinical decision trigger.
Using the correct technique is crucial for medication efficacy. An incorrect method can prevent the drops from reaching the target area, leading to treatment failure.
Instilling cold drops can cause vertigo, nausea, and pain. Always warm the medication to room temperature by holding the bottle in your hands for a few minutes before administration.
What if the patient was a 5-year-old child? The technique would change. For a child older than 3, you would gently pull the pinna up and back, the same as for an adult.

How to Approach the Question

First, identify the key terms in the question: 'administer ear drops' and 'infant'.
The word 'infant' is the critical piece of information, as the procedure is age-dependent.
Recall the anatomical differences in the ear canal between infants (younger than 3 years) and older children/adults.
Infant ear canals curve upwards, so they must be straightened by pulling the pinna down and back.
Adult and older children's ear canals curve downwards, so they are straightened by pulling the pinna up and back.
Select the option that matches the correct procedure for an infant.

Concept Tested & Keywords

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E6 Nursing Fundamentals Taylor p. 867-869

E6 Pharmacology Nursing Lilley 11e Part 1 p. 146-148

Practise the full DSSSB 13 August 2024

Attempt every question from this paper in a timed mock, then review the full solution for each one.