A client has an order for eye drops, three times a day, in both eyes. What should the nurse plan to do in administering this medication?
Ask the client to look downward during the instillation
Wear sterile gloves prior to opening the eye drop container
Administer the number of drops ordered into the conjunctival sacs
Cleanse the client's eyelids from the outer canthus to the inner canthus
The Correct Answer is C
A. Ask the client to look downward during the instillation: Proper technique requires the client to look upward toward the ceiling during the procedure. This posture moves the cornea away from the lower lid and reduces the risk of accidental trauma to the sensitive corneal tissue. It also facilitates easier access to the lower conjunctival sac for drop placement.
B. Wear sterile gloves prior to opening the eye drop container: Standard precautions for ophthalmic medication administration typically require clean, non-sterile gloves rather than sterile ones. The most critical factor is maintaining the sterility of the dropper tip by ensuring it does not contact any ocular or cutaneous surfaces. Clean gloves protect the nurse from contact with secretions.
C. Administer the number of drops ordered into the conjunctival sacs: The lower conjunctival sac provides a physiological reservoir that can safely hold the medicated fluid. Placing drops directly onto the cornea is painful and may cause damage to the epithelial layer. This method ensures systemic absorption via the mucous membranes while minimizing the blink reflex.
D. Cleanse the client's eyelids from the outer canthus to the inner canthus: Eyelids should always be cleansed from the inner canthus to the outer canthus. Moving from the nose outward prevents the introduction of environmental debris or pathogens into the lacrimal duct and the eye itself. This unidirectional motion maintains optimal ocular hygiene and prevents cross-contamination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["3"]
Explanation
Dose prescribed /Dose available=Number of capsules
900mg300mg=3
Correct Answer is ["1.25"]
Explanation
Dose prescribed /Dose available=Amount to administer
25mg20mg/ml=1.25ml
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