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 ["25"]
Explanation
Calculating IV Drip Rate for Manual Infusion
Here's how to calculate the drip rate for the manual IV infusion:
Identify total volume and infusion time:
Total volume of saline solution (NS) to infuse: 100 mL
Infusion time: 4 hours
Convert infusion time to minutes:
4 hours x 60 minutes/hour = 240 minutes
Determine the drip factor:
Drip factor: 60 gtt/mL (indicates the number of drops delivered per milliliter of solution by the IV tubing)
Calculate the desired flow rate (mL/min):
We want to know how many milliliters the nurse needs to infuse per minute.However, the question asks for the rate in gtt/min. We'll calculate the mL/min rate first and then convert it to gtt/min.
Flow rate (mL/min) = Total volume (mL) / Infusion time (minutes)
Flow rate (mL/min) = 100 mL / 240 minutes
Flow rate (mL/min) = 0.4167 mL/min (round to four decimal places for accurate conversion)
Convert mL/min to gtt/min:
Flow rate (gtt/min) = Flow rate (mL/min) x Drip factor (gtt/mL)
Flow rate (gtt/min) = 0.4167 mL/min x 60 gtt/mL
Flow rate (gtt/min) = 25 gtt/min (round to nearest whole number)
Therefore, the nurse should set the manual IV infusion to deliver approximately 25 gtt/min.
Correct Answer is D
Explanation
A) "Take the medication on an empty stomach":
Taking baclofen with food can help reduce gastrointestinal side effects such as nausea. However, the instruction to take it on an empty stomach is not necessary or typically recommended. Ensuring consistent timing with or without food is more practical for adherence and reducing potential side effects.
B) "Stop taking the medication immediately for headache":
While headaches can be a side effect of baclofen, stopping the medication abruptly can lead to withdrawal symptoms or worsening of muscle spasticity. It's important to discuss any persistent or severe headaches with the healthcare provider to determine the appropriate management.
C) "Diarrhea is an adverse effect of this medication":
Diarrhea can indeed be a side effect of baclofen, but it is not one of the primary or most common side effects. Constipation is actually more frequently observed. Monitoring for gastrointestinal changes and discussing them with the healthcare provider is important for appropriate management.
D) "Avoid driving until the medication's effects are evident":
This instruction is crucial because baclofen can cause drowsiness or dizziness, especially when starting the medication or when the dosage is adjusted. It is important for the client to avoid activities such as driving until they are aware of how the medication affects them to ensure safety.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.