A nurse is caring for a patient who is to be discharged with a prescription for eye drops. The nurse knows that the patient understands how to administer eye drops correctly when the patient states that eye drops should be instilled where?
The conjunctival sac.
The cornea.
The pupil.
The iris.
The Correct Answer is A
A. Eye drops should be instilled into the conjunctival sac to ensure proper absorption into the eye.
B. Instilling eye drops directly onto the cornea is incorrect and may cause discomfort or injury.
C. Instilling eye drops into the pupil is incorrect and can lead to adverse effects on vision.
D. The iris is not the correct location for administering eye drops; the conjunctival sac is the appropriate site.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Filling out an incident report is necessary but should not be the first action after administering the wrong medication.
B. Notifying the charge nurse is important, but assessing the client's immediate condition takes priority.
C. Checking the client's vital signs is the first action to assess for any adverse effects from the wrong medication and determine the next steps in care.
D. Documenting the client's condition is important but should occur after assessing the client's vital signs and addressing immediate needs.
Correct Answer is B
Explanation
A. Flushing the tube with water is necessary after checking residual stomach contents to clear the tube, but measuring stomach contents comes first to ensure the tube is clear for proper medication administration.
B. Measuring stomach contents is crucial before administering enteral medication to confirm the tube's placement and ensure medication reaches the stomach appropriately, preventing complications such as aspiration.
C. Elevating the head of the bed is important during and after enteral feeding to prevent aspiration, but it is not the first action before medication administration.
D. Returning gastric content into the gastrostomy tube may be necessary after assessing and managing residual stomach contents, but it is not the initial step in medication administration.
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