A nurse is collecting data from a client who is 18 hr postpartum. The nurse notes that the client is in the "taking-in phase" of maternal adjustment. Which of the following manifestations should the nurse expect?

Choice A Reason:

Wipe any excess medication from the inner canthus outward. When administering ophthalmic ointment to a child, it's essential to apply the medication gently and accurately. To prevent the spread of infection and ensure proper absorption, the nurse should instruct the guardian to wipe any excess medication from the inner canthus (the inner corner of the eye) outward. This technique helps to prevent contamination of the medication tube and minimizes the risk of introducing bacteria into the eye.

Choice B Reason:

Placing an occlusive dressing on the affected eye is not necessary for treating acute bacterial conjunctivitis.

Choice C Reason:

Instructing the guardian to apply erythromycin ophthalmic ointment is incorrect because the child has been prescribed bacitracin ophthalmic ointment.

Choice D Reason:

Massaging the eyelid is not necessary and can be uncomfortable for the child. It's important to apply the medication gently and not to massage the eyelid.

Choice A Reason:

Telling the client to discuss the decision with her family implies that the family should influence or make the decision for the client. The decision to continue or discontinue treatment is a personal one that the client should make based on their own values and preferences.

Choice B Reason:

Supporting the client's decision to stop the treatment is correct. When a client with end-stage kidney disease decides to stop dialysis treatment, it's essential for the nurse to respect the client's autonomy and support their decision. The client has the right to make decisions about their own healthcare, including the decision to discontinue a treatment that is no longer aligned with their goals and wishes.

Choice C Reason:

Discussing alternative treatment methods may be appropriate in some cases, but if the client has made an informed decision to stop dialysis, the focus should be on respecting and supporting that decision rather than presenting alternatives.

Choice D Reason:

Involving the facility chaplain may be beneficial if the client desires spiritual or emotional support during this difficult decision-making process, but it should be at the client's request, not imposed by the nurse.