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) Discontinue medication if nausea occurs:
While nausea can be a side effect of cyclobenzaprine, it is not typically a reason to discontinue the medication immediately. The client should contact their healthcare provider if they experience nausea or other side effects, but discontinuation should be based on medical advice.

B) Avoid driving until effects are known:
Cyclobenzaprine is a muscle relaxant that can cause drowsiness, dizziness, or impaired cognitive function. It is important for clients to avoid driving or operating heavy machinery until they are aware of how the medication affects them and if they can do so safely.

C) Monitor for increased muscle spasms:
Cyclobenzaprine is prescribed to reduce muscle spasms, so an increase in muscle spasms would be contrary to the intended effect of the medication. Clients should monitor for effectiveness and report any increase in symptoms to their healthcare provider.

D) Expect urine to turn orange:
Cyclobenzaprine does not typically cause urine to change color. Urine discoloration is not a common side effect of this medication. Clients should be informed about possible side effects, but urine discoloration is not associated with cyclobenzaprine.

A. Catheter dislodgment B. Catheter rupture C. Catheter migration D. Catheter occlusion

Correct Answer is A

Explanation

A) Catheter dislodgment:
Hearing a gurgling sound near the catheter insertion site may indicate that the catheter is partially dislodged. This dislodgment can cause air to enter the catheter or affect the proper flow of fluids. Immediate assessment and intervention are required to address the dislodgment and prevent complications such as air embolism.

B) Catheter rupture:
A catheter rupture would typically present with signs of leakage or blood in the surrounding area, rather than a gurgling sound. While a rupture is a serious complication, it does not usually cause a gurgling noise.

C) Catheter migration:
Catheter migration occurs when the catheter moves from its original position, which could lead to issues with catheter function or placement. However, migration is less likely to cause a gurgling sound and more likely to present with changes in catheter function or resistance during infusion.

D) Catheter occlusion:
Catheter occlusion usually presents with difficulty in infusing fluids or withdrawing blood, not a gurgling sound. An occlusion is characterized by blockage or reduced flow rather than an audible gurgling.

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 teaching a client who has a new prescription for cyclobenzaprine. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

A nurse is teaching a class about routes of medication administration. The nurse should include that which of the following routes has the fastest rate of absorption?

A nurse is preparing to administer medications to a client who states, "I don't want to take those drugs." Which of the following actions should the nurse take?

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?

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 reviewing laboratory results of a client who has atrial fibrillation and is taking warfarin. For which of the following results should the nurse notify the provider?

A nurse is caring for a client who requires a medication that is packaged in a single dose glass ampule. Which of the following techniques should the nurse use when opening the glass ampule?

A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?