Which of the following describes the correct method for applying a patient's eye ointment?
Apply the ointment to the lower conjunctiva, from the inner canthus to outer canthus.
Apply the ointment from the outer canthus to the inner canthus.
Hold the patient's eyelid open and apply a small amount of ointment to the lower lid using a cotton swab.
Apply the ointment sparingly to the surface of the eyeball while the patient is looking upward.
The Correct Answer is A
Rationale:
A. Eye ointment should be applied in a thin line along the lower conjunctival sac, moving from the inner canthus to the outer canthus, to prevent contamination and allow even distribution.
B. Applying from outer to inner canthus can carry microorganisms toward the lacrimal duct, increasing the risk of infection.
C. A cotton swab should not be used; the ointment is applied directly from the tube to reduce contamination risk.
D. Ointment should not be placed directly on the eyeball surface, as this may cause injury and discomfort.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Intravascular to interstitial describes fluid movement between two components of the extracellular space, not the effect of hypertonic solutions.
B. Extracellular to intracellular is the opposite effect, which occurs with hypotonic solutions.
C. A hypertonic solution draws water out of the cells (intracellular space) into the extracellular space, including the intravascular compartment, to restore fluid balance.
D. Intravascular to intracellular is also the opposite of what happens with hypertonic fluids.
Correct Answer is E
Explanation
A. Asking the patient to confirm their name is insufficient. The nurse should use at least two identifiers (e.g., full name and date of birth) instead of just reading the name aloud.
B. Nurses—not pharmacists—are responsible for independently calculating and verifying dosages before administration.
C. The nurse should check the medication label three times (when removing, before preparing, and at the bedside), not just once.
D. Interpreting illegible handwriting is unsafe. The nurse must clarify immediately with the prescriber before giving the medication.
E. Closing the door of the medication room helps minimize distractions and interruptions, reducing the risk of medication errors.
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