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."
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale- Sucralfate is used for coating the lining of gastric ulcers to prevent exposure to acid allowing for healing. It binds to protein containing exudate to form a paste-like substance that coats the ulcers.
B-Sucralfate has no effect of quality of vision
C-Sucralfate has no role in prophylaxis in infections
D-Sucralfate relieves pain in H. Pylori induced gastric ulcers but no effect of infection control
Correct Answer is B
Explanation
Beyond the expiration date drugs should be discarded as the efficacy and safety of the medication cannot be guaranteed. Using expired medication can lead to reduced effectiveness or even potential harm to the client.
A. Returning the medication to the pharmacy may not be feasible, as the medication is expired and should not be used. The proper course of action is to discard it.
C. Notifying the provider is unnecessary in this situation.
D. Using expired medication can compromise client safety and is not in accordance with best practice guidelines.
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