When applying ophthalmic ointments, the nurse should: (Select all that apply.)
fill only the center of the conjunctival sac.
remove excess ointment from the lid with a cotton ball.
remove gloves and perform hand hygiene.
ask the client to roll the eye around and from side to side.
ask the client to close the eyelids tightly to distribute ointment.
Correct Answer : C,D,E
A) Fill only the center of the conjunctival sac: This option is incorrect. When applying ophthalmic ointment, the ointment should be placed along the entire length of the conjunctival sac, not just the center, to ensure proper distribution and effectiveness.
B) Remove excess ointment from the lid with a cotton ball: This action is not recommended. Instead of using a cotton ball, which may introduce fibers or contaminants, excess ointment should be gently wiped away with a clean tissue or cloth if necessary. However, it is generally best to avoid excess application in the first place.
C) Remove gloves and perform hand hygiene: This option is correct. After applying the ointment, the nurse should remove gloves and perform hand hygiene to prevent any potential contamination and maintain proper infection control practices.
D) Ask the client to roll the eye around and from side to side: This is a correct action. Encouraging the client to roll their eyes helps distribute the ointment evenly across the surface of the eye, enhancing its effectiveness.
E) Ask the client to close the eyelids tightly to distribute ointment: This option is also correct. Closing the eyelids helps spread the ointment over the conjunctival surface, ensuring better coverage and absorption of the medication.
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View Related questions
Correct Answer is A
Explanation
A) "I should let the medication dissolve completely": This statement is correct and indicates that the client understands the proper administration of buccal medication. Buccal medications are designed to dissolve slowly between the gum and cheek, allowing for absorption directly into the bloodstream.
B) "I can only drink water, not juice, with this medication": This option is not accurate for buccal medications. While it is important to avoid swallowing the medication prematurely, there are generally no restrictions against consuming juice unless specified by the healthcare provider.
C) "I better chew my medication first for faster distribution": This statement indicates a misunderstanding. Buccal medications should not be chewed, as this can interfere with the intended slow release and absorption of the medication.
D) "I will place the medication in the same location": While placing the medication in the buccal pouch is important, it is not necessary to place it in the same exact spot every time. Rotating the site can help prevent irritation. This statement does not indicate a complete understanding of the proper technique.
Correct Answer is D
Explanation
A) Cerumen or drainage is occluding the ear canal: While cerumen or drainage can cause discomfort, it is less likely to be the direct cause of dizziness following the administration of eardrops. Dizziness is more commonly associated with changes in pressure or temperature in the ear.
B) Too much pressure was applied during instillation, with subsequent injury to the eardrum: Although excessive pressure can lead to injury, the immediate symptom of dizziness after eardrop administration is more closely related to other factors, particularly temperature or positioning.
C) The client failed to remain in the side-lying position long enough: This option is incorrect because not maintaining the position may affect medication absorption but is unlikely to cause immediate dizziness and nausea.
D) The medication was too cold when it was administered: This is the most likely cause of the dizziness. Cold eardrops can cause a rapid change in temperature within the ear canal, potentially stimulating the vestibular system and leading to dizziness or vertigo. It is generally recommended to warm eardrops to body temperature before administration to minimize this risk.