A nurse is preparing to administer an ophthalmic medication to a client. Which of the following actions should the nurse plan take?

Apply pressure to the client's nasolacrimal duct after instillation.

Clean the client's eye from the outer canthus to the inner canthus before instillation.

Ask the client to tightly squeeze their eyes shut after the instillation.

Instill the ophthalmic medication directly on the client's cornea.

Answer and Explanation

The Correct Answer is A

A) Apply pressure to the client's nasolacrimal duct after instillation:
Applying gentle pressure to the nasolacrimal duct (located at the inner corner of the eye) after administering ophthalmic medication helps to reduce systemic absorption and increase the medication’s efficacy. This technique helps to prevent the medication from draining into the nasolacrimal duct and into the systemic circulation.

B) Clean the client's eye from the outer canthus to the inner canthus before instillation:
The eye should be cleaned from the inner canthus to the outer canthus to avoid transferring debris or infection from the outer parts of the eye to the inner areas. Cleaning from outer to inner canthus may cause contamination.

C) Ask the client to tightly squeeze their eyes shut after the instillation:
Asking the client to tightly squeeze their eyes shut is not recommended as it can cause the medication to be expelled or lead to increased systemic absorption. Instead, the client should gently close their eyes to allow for proper absorption.

D) Instill the ophthalmic medication directly on the client's cornea:
The medication should be administered into the conjunctival sac rather than directly on the cornea. Direct application to the cornea can cause irritation or damage.

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Correct Answer is C

Explanation

A) Muscle pain:
Verapamil is a calcium channel blocker used to treat cardiac dysrhythmias and hypertension. Muscle pain is not a common adverse effect associated with verapamil. Instead, side effects related to cardiovascular function are more pertinent.

B) Ototoxicity:
Ototoxicity, which refers to hearing damage or tinnitus, is not a known side effect of verapamil. This is more commonly associated with certain antibiotics or chemotherapy agents, not calcium channel blockers like verapamil.

C) Hypotension:
Hypotension is a significant concern with verapamil, as it can lower blood pressure due to its vasodilatory effects. Monitoring blood pressure is crucial when administering verapamil, especially during an IV bolus, to ensure it does not drop too low and lead to symptoms of dizziness or fainting.

D) Hyperthermia:
Hyperthermia, or elevated body temperature, is not typically associated with verapamil use. Verapamil's side effects are more focused on cardiovascular and gastrointestinal systems, rather than temperature regulation.

A. "This hospital might use a different manufacturer, but the medication is the same." B. "Describe what the pill looks like." C. "This is the medication prescribed by your provider." D. "This pill is probably from a different lot number than yours at home."

Correct Answer is B

Explanation

A) "This hospital might use a different manufacturer, but the medication is the same":
While this response provides reassurance about the consistency of the medication, it does not directly engage with the client’s observation. It may not fully address the client's specific concerns or help in verifying whether the medication is indeed correct.

B) "Describe what the pill looks like":
Asking the client to describe the pill helps in verifying its identity. This response is appropriate because it allows for a comparison between the pill in question and the medication the client is familiar with, ensuring that the right medication is being administered.

C) "This is the medication prescribed by your provider":
This response confirms that the medication is prescribed but does not address why it looks different. It may not provide the necessary reassurance or clarification about the appearance of the medication.

D) "This pill is probably from a different lot number than yours at home":
Although this response could explain the appearance difference, it might not be as reassuring as verifying the medication’s identity. It’s more important to ensure that the client’s concern is addressed directly by comparing the appearance of the medication.

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A nurse is preparing to administer an ophthalmic medication to a client. Which of the following actions should the nurse plan take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

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