A nurse is administering multiple types of ophthalmic drops to a client. Which of the following actions should the nurse take?

Hold the dropper 3 cm (1.2 in) away from the client's eye.

Massage the client's eyelids for 20 seconds after instillation.

Wait 5 min between the administration of each medication.

Ask the client to close their eyes tightly after instilling each medication.

Answer and Explanation

The Correct Answer is C

A.   The dropper should be held about 1 cm (0.4 in) away from the eye to avoid touching or injuring the eye or contaminating the dropper tip.
B.   Massaging the eyelids after instillation is not a standard practice and may cause discomfort or injury to the eye.
C.   Administering multiple ophthalmic medications requires a sufficient interval between doses to prevent interactions and ensure effectiveness.
D.   Asking the client to close their eyes tightly may squeeze out some of the medication or increase intraocular pressure.

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Correct Answer is B

Explanation

A. Disconnecting the drainage tube can introduce bacteria and increase the risk of infection.
B. Maintaining the collection bag below the level of the bladder prevents backflow of urine and reduces the risk of infection.
C. Catheter size selection is based on individual client factors and is not directly related to infection prevention.
D. Allowing the drainage bag to overfill increases the risk of backflow and infection.

A. "I am not able to walk for very long so I ride the stationary exercise bike at the gym." B. "I enjoy having lunch with my grandchildren every other Sunday." C. "I have a few friends over for coffee a couple of times a week." D. "I have a lot of arthritis pain, so I only leave my house to get the mail."

Correct Answer is D

Explanation

A. Although this client may have physical limitations, they are still engaging in social activities by going to the gym, indicating less likelihood of social isolation.
B. This client has regular social interactions with family members, suggesting they are not socially isolated.
C. Regular social gatherings with friends indicate social engagement and are not indicative of social isolation.
D. Restricting activities outside the home to only essential tasks like getting the mail due to pain or other reasons can indicate social isolation and limited social interactions.

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A nurse is administering multiple types of ophthalmic drops to a client. Which of the following actions should the nurse take?

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