A nurse is preparing to administer an ophthalmic medication to a client. Which of the following actions should the nurse plan take?

Apply pressure to the client's nasolacrimal duct after instillation.

Clean the client's eye from the outer canthus to the inner canthus before instillation.

Ask the client to tightly squeeze their eyes shut after the instillation.

Instill the ophthalmic medication directly on the client's cornea.

Answer and Explanation

The Correct Answer is A

A) Apply pressure to the client's nasolacrimal duct after instillation:
Applying gentle pressure to the nasolacrimal duct (located at the inner corner of the eye) after administering ophthalmic medication helps to reduce systemic absorption and increase the medication’s efficacy. This technique helps to prevent the medication from draining into the nasolacrimal duct and into the systemic circulation.

B) Clean the client's eye from the outer canthus to the inner canthus before instillation:
The eye should be cleaned from the inner canthus to the outer canthus to avoid transferring debris or infection from the outer parts of the eye to the inner areas. Cleaning from outer to inner canthus may cause contamination.

C) Ask the client to tightly squeeze their eyes shut after the instillation:
Asking the client to tightly squeeze their eyes shut is not recommended as it can cause the medication to be expelled or lead to increased systemic absorption. Instead, the client should gently close their eyes to allow for proper absorption.

D) Instill the ophthalmic medication directly on the client's cornea:
The medication should be administered into the conjunctival sac rather than directly on the cornea. Direct application to the cornea can cause irritation or damage.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A) "I've had a backache for several days."
A backache is not typically associated with digoxin toxicity. This symptom is more likely related to musculoskeletal issues rather than an adverse effect of digoxin.

B) "I feel nauseated and have no appetite."
Nausea and loss of appetite are common symptoms of digoxin toxicity. Digoxin can cause gastrointestinal disturbances as part of its adverse effects, and these symptoms are important indicators that the medication levels may be too high.

C) "I am urinating more frequently."
Increased urination is not an adverse effect of digoxin itself but may be a result of the diuretic effect of other medications often used in conjunction with digoxin for heart failure. It is not typically a direct sign of digoxin toxicity.

D) "I can walk a mile a day."
The ability to walk a mile a day indicates that the client is experiencing functional improvement, not adverse effects. Digoxin is used to improve symptoms of heart failure, and this statement suggests that the medication may be having a beneficial effect.

A. Flumazenil B. Acetylcysteine C. Naloxone D. Fab antibody fragments

Correct Answer is D

Explanation

A) Flumazenil: Flumazenil is an antidote used to reverse the effects of benzodiazepines, which are central nervous system depressants. It is not effective in treating digoxin toxicity, as it does not interact with the cardiac glycoside effects of digoxin.

B) Acetylcysteine: Acetylcysteine is primarily used as an antidote for acetaminophen overdose and to help manage mucus in respiratory conditions. It has no effect on digoxin toxicity and would not be appropriate for treating this condition.

C) Naloxone: Naloxone is an opioid antagonist used to reverse the effects of opioid overdose. Like flumazenil and acetylcysteine, naloxone is not effective in addressing digoxin toxicity and does not counteract the effects of cardiac glycosides.

D) Fab antibody fragments: Fab antibody fragments, also known as Digoxin-specific antibody fragments (Digibind or DigiFab), are the appropriate treatment for severe digoxin toxicity. These fragments bind to digoxin, neutralizing its effects and allowing the body to eliminate it safely. This is the most effective and specific treatment for life-threatening digoxin toxicity.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is preparing to administer an ophthalmic medication to a client. Which of the following actions should the nurse plan take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and a prescription for digoxin. Which of the following statements by the client indicates an adverse effect of the medication?

Correct Answer is B

Explanation

A nurse is caring for a client who is taking digoxin for heart failure and develops indications of severe digoxin toxicity. Which of the following medications should the nurse prepare to administer?

Correct Answer is D

Explanation

A nurse is preparing to teach a client about a new medication. Which of the following strategies should the nurse plan to use?(Select All that Apply.)

A nurse is preparing to administer an otic medication to a client. Which of the following actions should the nurse take?

A nurse is preparing to administer a medication to a client who states, "That looks different from the pill I usually take." Which of the following responses should the nurse make?

A nurse is teaching a class about pharmacodynamics. The nurse should include that which of the following medication levels occurs when a medication is at the lowest serum concentration?

A nurse is assessing a client who has a peripheral IV with a continuous infusion. Which of the following findings is a manifestation of phlebitis? (Select all that apply.)

A nurse is assessing an older adult client who is receiving IV therapy. The nurse should recognize that which of the following findings indicates fluid volume excess? (Select all that apply.)

A nurse is caring for a client who has a central venous catheter and reports hearing a gurgling sound on the side of the catheter insertion. Which of the following complications should the nurse suspect?