A nurse is reinforcing teaching with the guardian of a toddler who has conjunctivitis. Which of the following statements by the guardian indicates an understanding of the teaching?
"I will apply the antibiotic ointment in the morning and use the drops at bedtime."
"I will use a separate washcloth to clean the affected eye."
"I will wipe from the outer to inner corners of the eye to remove secretions."
"I will leave a warm, moist compress on the affected eye for 10 minutes."
The Correct Answer is B
A. "I will apply the antibiotic ointment in the morning and use the drops at bedtime." is incorrect. If an antibiotic is prescribed, either drops or ointment are typically used, but not both. Additionally, viral conjunctivitis does not require antibiotics, so treatment depends on the underlying cause.
B. "I will use a separate washcloth to clean the affected eye." is correct. Using a separate washcloth prevents the spread of infection to the unaffected eye or to others. Conjunctivitis is highly contagious, and proper hygiene is essential in preventing its spread.
C. "I will wipe from the outer to inner corners of the eye to remove secretions." is incorrect. The correct technique is to wipe from the inner to the outer canthus to prevent spreading debris and infection toward the tear ducts.
D. "I will leave a warm, moist compress on the affected eye for 10 minutes." is incorrect. While warm compresses can help soothe irritation, prolonged moisture can create an environment for bacterial growth. Shorter applications are recommended, and cool compresses may also provide relief.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I will apply the antibiotic ointment in the morning and use the drops at bedtime." is incorrect. If an antibiotic is prescribed, either drops or ointment are typically used, but not both. Additionally, viral conjunctivitis does not require antibiotics, so treatment depends on the underlying cause.
B. "I will use a separate washcloth to clean the affected eye." is correct. Using a separate washcloth prevents the spread of infection to the unaffected eye or to others. Conjunctivitis is highly contagious, and proper hygiene is essential in preventing its spread.
C. "I will wipe from the outer to inner corners of the eye to remove secretions." is incorrect. The correct technique is to wipe from the inner to the outer canthus to prevent spreading debris and infection toward the tear ducts.
D. "I will leave a warm, moist compress on the affected eye for 10 minutes." is incorrect. While warm compresses can help soothe irritation, prolonged moisture can create an environment for bacterial growth. Shorter applications are recommended, and cool compresses may also provide relief.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
The nurse should delay the prescription for digoxin due to the finding of heart rate.
Rationale: Digoxin is a medication used to treat heart failure and arrhythmias, but it can slow the heart rate. For infants, it is important to assess the heart rate before administering digoxin. If the heart rate is too low, typically below 90 bpm in infants, digoxin should be held and the provider should be notified. Given that the infant’s heart rate is 64/min, which is on the lower side for a 5-month-old, the nurse should delay the administration of digoxin and consult with the provider.
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