A nurse is preparing to administer Timolol ophthalmic medication to a client. Which of the following actions should the nurse plan take?
Instill the ophthalmic medication directly on the client's cornea.
Apply gentle 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.
The Correct Answer is B
Instilling the ophthalmic medication directly on the client's cornea is incorrect and could cause discomfort or injury.
B. Applying gentle pressure to the client's nasolacrimal duct after instillation helps to reduce systemic absorption of the medication and minimize side effects.
C. Cleaning the client's eye from the outer canthus to the inner canthus is unnecessary and not a recommended procedure before instillation.
D. Asking the client to tightly squeeze their eyes shut after instillation may not affect the absorption of the medication and is not necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Prednisone typically does not cause fever as a side effect.
B. Ringing in the ears (tinnitus) is not commonly associated with prednisone use.
C. Prednisone can increase appetite and may cause weight gain, so feeling hungrier is an expected side effect that the client should anticipate.
D. Prednisone tends to increase blood sugar levels, so a decrease in blood sugar would not be expected.
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.
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