A nurse is reinforcing teaching with a client with bacterial conjunctivitis of the right eye, and a prescription for an antibiotic ophthalmic ointment. Which of the following statements should the nurse make?
"Apply the ointment in a thin line into the conjunctival sac."
"Keep your eye open for 30 sec after instilling the ointment."
"Use a sterile glove and applicator to apply the antibiotic ointment."
"Always wipe from the outer to the inner canthus when wiping away secretions."
The Correct Answer is A
A) "Apply the ointment in a thin line into the conjunctival sac":
This instruction is correct for applying ophthalmic ointments. Placing the ointment in a thin line along the conjunctival sac ensures proper distribution and contact with the affected area.
B) "Keep your eye open for 30 sec after instilling the ointment":
Keeping the eye open for a brief period after instillation helps the ointment spread across the eye surface. This statement indicates understanding of the proper technique for applying ophthalmic ointments and does not require further instruction.
C) "Use a sterile glove and applicator to apply the antibiotic ointment":
Using a sterile glove and applicator ensures that the application is done in a sterile manner, reducing the risk of introducing further infection. This statement indicates a need for further instruction, as ophthalmic ointments are typically applied using clean hands or disposable, sterile applicators rather than sterile gloves.
D) "Always wipe from the outer to the inner canthus when wiping away secretions":
Wiping from the outer to the inner canthus helps prevent contamination of the unaffected eye. This statement demonstrates understanding of proper eye care techniques and does not require further instruction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Have suction equipment at the bedside:
Having suction equipment at the bedside is not specifically related to the administration of clopidogrel. It may be necessary for clients with respiratory or airway concerns but is not directly associated with this medication.
B) Monitor the client for black, tarry stools:
Clopidogrel is an antiplatelet medication that can increase the risk of bleeding, including gastrointestinal bleeding. Monitoring for black, tarry stools is essential as it can indicate upper gastrointestinal bleeding, which is a potential adverse effect of clopidogrel therapy.
C) Initiate contact precautions:
Contact precautions are not required for clients taking clopidogrel. Clopidogrel does not pose an infection risk that would necessitate contact precautions.
D) Administer the medication with each meal:
Clopidogrel is typically administered once daily, regardless of meals. There is no specific requirement to administer it with each meal.
Correct Answer is D
Explanation
A) "It’s a good idea to help make sure your husband can sleep comfortably":
While the partner's intention may be to ensure the client's comfort, PCA pumps are designed for the client to self-administer medication according to their own pain level. Allowing the partner to administer doses without the client's input may lead to overmedication or misuse of the PCA pump.
B) "Next time you think he needs more medication, call me and I’ll push the button":
This response encourages the partner to involve the nurse in determining when additional medication is needed, which is appropriate. However, the ideal approach with a PCA pump is for the client to self-administer doses based on their own pain assessment and to communicate directly with the nurse if assistance is needed.
C) "Why do you think your husband needs more medication when he is asleep?":
This response may come across as confrontational and could imply mistrust in the partner's actions. It's important to address the situation without causing discomfort or defensiveness.
D) "Your husband should decide when more medication is needed":
This is the correct response because PCA pumps are specifically designed for the client to control their pain management. The client is encouraged to use the PCA pump to administer medication when they feel they need it, based on their own pain assessment. The partner's role should be to support and assist the client as needed, rather than making decisions about medication administration.
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