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 A

Explanation

Pediatric clients have a straighter and shorter ear canal as compared to adults. Pulling the auricle down and back helps straighten the ear canal, allowing easier administration of the eardrops and ensuring that they reach the tympanic membrane. This technique is preferred to avoid injury to the ear canal and tympanic membrane
B. Pulling the auricle down and out inhibits visualization of the canal
C. Pulling the auricle down and back obstructs the ear canal and hinder the proper administration of eardrops.
D. Pulling the auricle up and out is used in adults

A. Instruct the client to use an electric toothbrush. B. Check the value of the client’s current platelet count. C. Have the client make an appointment to see the dentist. D. Explain to the client that this is an expected adverse effect.

Correct Answer is B

Explanation

Methotrexate is immunomodulatory that inhibits DNA synthesis and repair but blocking the metabolism of DNA building blocks. In addition to it disease modifying effects on targeted tissues, it also affects rapidly dividing cells such as the bone marrow leading to reduced platelets that causes bleeding. Information on number of platelets is important to guide the next action

A-Electric brush will worsen the bleeding

C-This is important but not priority as the bleeding is likely related to the medication

D- Explaining is important but does not address the issue at hand

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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

Naxlex Comprehensive Predictor Exams

A nurse is preparing to instill ear drops to a 3-year-old child. Which of the following techniques should the nurse use?

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Explanation

A nurse in a provider's clinic is assessing a client Who has cancer and a prescription for methotrexate PO. Which of the following actions should the nurse take when the client reports bleeding gums?

Correct Answer is B

Explanation

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