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. A transfer belt should be removed after the transfer is completed, as it can cause skin irritation or pressure ulcers if left in place for too long.
B. Lowering the footplates before transferring the client from the bed helps to prevent injury to the client's feet and legs during the transfer.
C. Backing the wheelchair into the elevator is not necessary, as long as there is enough space to maneuver the wheelchair inside.
D. Positioning the client so their weight is shifted forward can make the transfer more difficult and increase the risk of falling.

A. Social worker B. Occupational therapist C. Speech-language pathologist D. Physical therapist

Correct Answer is B

Explanation

A. Social workers typically assist with psychosocial issues, resource management, and support services. While important, they may not have the specialized skills required for teaching eating utensil use.

B. Occupational therapists specialize in helping individuals regain the ability to perform activities of daily living, including eating, after injuries such as traumatic brain injury.
C. Speech-language pathologists focus on communication and swallowing disorders.

While they may be involved in therapy for clients with traumatic brain injury, their primary focus is not on teaching utensil use.
D. Physical therapists focus on mobility, strength, and function. While they may assist with overall rehabilitation after a traumatic brain injury, they are not specifically trained in teaching eating skills.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

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