A clinic nurse is giving instructions to a mother on the proper technique of applying ophthalmic ointment to her preschool-age child who has conjunctivitis. Which of the following should the nurse include in the instructions?

“Warm the ointment by placing the tube in glass of hot tap water”

"Discard the first bead of ointment before each application."

"Instruct your child to squeeze his eyes shut following application."

"Cleanse the eye with a wet cotton ball in a direction towards the inner canthus before applying the ointment."

Answer and Explanation

The Correct Answer is B

the first bead of ointment may be contaminated with bacteria from the tip of the tube or the surrounding skin. Discarding this initial bead ensures that the subsequent application is sterile and reduces the risk of introducing infection into the eye.

A. Warming the ointment by placing the tube in hot tap water alters the consistency of the ointment and can potentially cause burns to the child's delicate eye tissue.

C. Instructing the child to squeeze his eyes shut following application is not necessary. The eyes should be closed gently

D. Cleansing the eye should be done from the inner corner moving outward

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Correct Answer is C

Explanation

The client should hold breath for 5- 10 seconds after inhalation. This duration allows for optimal exposure of the drug to the airway epithelium. This allows for adequate response to the bronchodilator.
A- The client should wait 2 mins between inhalations to allow for optimal absorption of the medication

B- The client should inhale during release of medication to allow entry into the lungs.

D- The client should inhale the medication slowly and deeply over about 3-4 seconds. This ensures that the medication reaches deep into your lungs where it is needed.

A. Give the insulin at 0700. B. Give the insulin when the breakfast tray arrives. C. Give the insulin 30 min after breakfast with the client's Other routine medicines. D. Give the insulin at 0730.

Correct Answer is D

Explanation

The regular insulin should be administered subcutaneously about 30 mins before the client take their meals. This is because the insulin has a short onset of action. The peak time (30 mins after injection) should match the eating time provide optimum sugar control

B Arrival of the tray does not provide an exact time account to help match the peak time with meal time

C regular insulin should be given before meals

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A clinic nurse is giving instructions to a mother on the proper technique of applying ophthalmic ointment to her preschool-age child who has conjunctivitis. Which of the following should the nurse include in the instructions?

Nursing Test Bank

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